Green Country Chiropractic, Inc.

NPI #1316133895 in Checotah, Oklahoma

Provider Information

NPI Number: 1316133895
Entity Type: Organization
Organization Name: Green Country Chiropractic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Sep 19, 2007
Last Updated: Sep 19, 2007

Practice Location

Address: 103 SW 4TH ST
City: Checotah
State: Oklahoma
ZIP Code: 74426-3609
Phone: (918) 473-1182

Authorized Official

Name: DR. LEO HENRY WYNN, D.O.
Title: PRESIDENT
Phone: (918) 473-1182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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