Skiatook Medical LLC

NPI #1881887214 in Skiatook, Oklahoma

Provider Information

NPI Number: 1881887214
Entity Type: Organization
Organization Name: Skiatook Medical LLC
Primary Specialty: Chiropractor
Enumeration Date: Aug 20, 2007
Last Updated: Aug 20, 2007

Practice Location

Address: 203 S HOMINY AVE
City: Skiatook
State: Oklahoma
ZIP Code: 74070-3975
Phone: (918) 396-9000

Authorized Official

Name: DR. ROBERT LEE JOHNSON, DC
Title: MANAGER
Phone: (918) 396-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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