Gran Miracle Chiropractic Inc Pc | |
3515 E 31st St, Suite C, Tulsa, OK 74135-1520 | |
(918) 748-9876 | |
(918) 748-9331 |
Full Name | Gran Miracle Chiropractic Inc Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 3515 E 31st St, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912191503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2476 (Oklahoma) | Primary |
Provider Name | Marcia L Gran |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1629107701 PECOS PAC ID: 4486553583 Enrollment ID: I20040107000918 |
Mailing Address | Practice Location Address |
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Gran Miracle Chiropractic Inc Pc 3515 E 31st St, Suite C, Tulsa, OK 74135-1520 Ph: (918) 748-9876 | Gran Miracle Chiropractic Inc Pc 3515 E 31st St, Suite C, Tulsa, OK 74135-1520 Ph: (918) 748-9876 |
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