Organization · NPI-2
Accident Care Clinic
Chiropractor · Oklahoma City, OK
NPI number1083801203
StatusActive
Last updated in NPPESOct 2, 2007
Details
- NPI
- 1083801203
- Entity type
- Organization (NPI-2)
- Legal business name
- Accident Care Clinic
- Organization subpart
- No
- Enumeration date
- Oct 2, 2007
- Last updated
- Oct 2, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 3420 | OK | Yes |
| 111N00000X | Chiropractor | 3462 | OK |
Practice location
12316 N May Ave Ste B7349 S. Western Ave
Oklahoma City, OK 73120-1944
Phone 405-936-9900 · Fax 405-936-9055
Mailing address
12316 N May Ave Ste B7349 S. Western Ave
Oklahoma City, OK 73120-1944
Phone 405-936-9900 · Fax 405-936-9055
Authorized official
Robert D Boggs
President
4056364078
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