Shawnee Spine

NPI #1578338661 in Shawnee, Oklahoma

Provider Information

NPI Number: 1578338661
Entity Type: Organization
Organization Name: Shawnee Spine
Primary Specialty: Chiropractor - Internist
Enumeration Date: Nov 17, 2023
Last Updated: Nov 17, 2023

Practice Location

Address: 1049 VISION BLVD STE 700
City: Shawnee
State: Oklahoma
ZIP Code: 74804-1221
Phone: (405) 567-7716

Authorized Official

Name: JOSEPH HOLMAN
Title: OWNER
Phone: (405) 567-7716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Internist — Internist	111NI0900X	Primary

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