Individual
BLAKE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5085 E 151ST ST S STE B, BIXBY, OK 74008-4016
(918) 366-7100
Mailing address
5085 E 151ST ST S STE B, BIXBY, OK 74008-4016
(918) 366-7100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4490
OK
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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