Ccm Chiropractic LLC

NPI #1437475282 in Locust Grove, Oklahoma

Provider Information

NPI Number: 1437475282
Entity Type: Organization
Organization Name: Ccm Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Apr 19, 2010
Last Updated: Apr 19, 2010

Practice Location

Address: 413 E MAIN ST
City: Locust Grove
State: Oklahoma
ZIP Code: 74352
Phone: (918) 479-2827

Authorized Official

Name: DR. CLINTON C. MOORE, D. C.
Title: CHIROPRACTOR
Phone: (918) 479-2827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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