Central Oklahoma Chiropractic Clinic INC

NPI #1174714877 in Tecumseh, Oklahoma

Provider Information

NPI Number: 1174714877
Entity Type: Organization
Organization Name: Central Oklahoma Chiropractic Clinic INC
Primary Specialty: Chiropractor
Enumeration Date: Aug 7, 2007
Last Updated: Jul 24, 2012

Practice Location

Address: 602 N BROADWAY ST
City: Tecumseh
State: Oklahoma
ZIP Code: 74873-2020
Phone: (405) 598-6768

Authorized Official

Name: DR. JUSTIN RAY PHILLIPS, DC
Title: PRESIDENT
Phone: (405) 598-6768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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