Mid-Del Chiropractic LLC

NPI #1679853030 in Del City, Oklahoma

Provider Information

NPI Number: 1679853030
Entity Type: Organization
Organization Name: Mid-Del Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 17, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 5113 SE 15TH ST STE C
City: Del City
State: Oklahoma
ZIP Code: 73115-3952
Phone: (405) 601-0700

Authorized Official

Name: DR. DALE WAYNE MAYNARD JR., D.C.
Title: OWNER
Phone: (405) 601-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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