Dustin Reif, DC | |
1815 E 15th St, Tulsa, OK 74104-4610 | |
(918) 401-0377 | |
Not Available |
Full Name | Dustin Reif |
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Gender | Male |
Speciality | Chiropractor |
Location | 1815 E 15th St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588215412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4284 (Oklahoma) | Primary |
Provider Name | 100 Chiro Ryan Three Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033846324 PECOS PAC ID: 1759827603 Enrollment ID: O20240726002662 |
Mailing Address | Practice Location Address |
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Dustin Reif, DC 1815 E 15th St, Tulsa, OK 74104-4610 Ph: (918) 401-0377 | Dustin Reif, DC 1815 E 15th St, Tulsa, OK 74104-4610 Ph: (918) 401-0377 |
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