Spinal Decompression of Oklahoma

NPI #1639361702 in Claremore, Oklahoma

Provider Information

NPI Number: 1639361702
Entity Type: Organization
Organization Name: Spinal Decompression of Oklahoma
Primary Specialty: Technician, Other
Enumeration Date: Aug 13, 2007
Last Updated: Aug 13, 2007

Practice Location

Address: 1408 N FLORENCE AVE
City: Claremore
State: Oklahoma
ZIP Code: 74017-3159
Phone: (918) 341-1250

Authorized Official

Name: DR. DWIGHT J KORGAN, M.D.
Title: PRESIDENT
Phone: (918) 341-1250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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