Impact Chiropractic Clinic INC PC
NPI #1073732087 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1073732087
- Entity Type
- Organization
- Organization Name
- Impact Chiropractic Clinic INC PC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Dec 15, 2009
Practice Location
- Address
- 4705 W URBANA ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-5998
- Phone
- (918) 893-6400
Authorized Official
- Name
- MRS. KELLEY D DEHNHARDT
- Title
- OFFICE MANAGER
- Phone
- (918) 893-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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