Active Care Edmond Pllc

NPI #1679080394 in Edmond, Oklahoma

Provider Information

NPI Number: 1679080394
Entity Type: Organization
Organization Name: Active Care Edmond Pllc
Primary Specialty: Chiropractor
Enumeration Date: Jan 3, 2018
Last Updated: Jan 3, 2018

Practice Location

Address: 3201 E MEMORIAL RD STE B
City: Edmond
State: Oklahoma
ZIP Code: 73013-7093
Phone: (405) 478-1507

Authorized Official

Name: DR. JASON L BLOCK, DC
Title: CHIROPRACTOR
Phone: (405) 315-4119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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