DR. Samuel Diskerud

NPI #1689459208 in Owasso, Oklahoma

Provider Information

NPI Number: 1689459208
Entity Type: Individual
Name: DR. Samuel Diskerud
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Enumeration Date: Aug 30, 2023
Last Updated: Aug 30, 2023

Practice Location

Address: 425 E 22ND ST STE 102
City: Owasso
State: Oklahoma
ZIP Code: 74055-4492
Phone: (918) 376-4117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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