Organization
FOUTZ CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FOUTZ D.C. (MANAGING MEMBER)
(918) 283-2222
Entity
Organization
Contact information
Practice address
997 W WILL ROGERS BLVD, SUITE A, CLAREMORE, OK 74017-5416
(918) 283-2222
(918) 341-6976
Mailing address
997 W WILL ROGERS BLVD, SUITE A, CLAREMORE, OK 74017-5416
(918) 283-2222
(918) 341-6976
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3450
OK
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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