Idabel Chiropractic Clinic Pllc

NPI #1609888775 in Idabel, Oklahoma

Provider Information

NPI Number: 1609888775
Entity Type: Organization
Organization Name: Idabel Chiropractic Clinic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 13, 2006
Last Updated: Apr 21, 2009

Practice Location

Address: 1420 SE WASHINGTON ST
City: Idabel
State: Oklahoma
ZIP Code: 74745-3448
Phone: (580) 286-6546

Authorized Official

Name: DR. ERIC L ENSLEY, D.C.
Title: OWNER/DOCTOR
Phone: (580) 286-6546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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