| |
901 S Main St, Grove, OK 74344-2845 | |
(918) 786-1056 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 901 S Main St, Grove, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629237904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2637 (Oklahoma) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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901 S Main St, Grove, OK 74344-2845 Ph: (918) 786-1056 | 901 S Main St, Grove, OK 74344-2845 Ph: (918) 786-1056 |