| Integrated Physical Health Llc | |
|
4564 S Harvard Ave, Suite B, Tulsa, OK 74135-2918 | |
| (918) 231-7832 | |
| Not Available |
| Full Name | Integrated Physical Health Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4564 S Harvard Ave, 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 |
|---|---|---|---|
| 1528364205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3877 (Oklahoma) | Primary |
| Provider Name | Matthew B Biddle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427109693 PECOS PAC ID: 9436104213 Enrollment ID: I20050318000010 |
| Provider Name | Timothy T Cole |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518974765 PECOS PAC ID: 8527004407 Enrollment ID: I20050824000220 |
| Provider Name | Tyler S Bachman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164699351 PECOS PAC ID: 6002963139 Enrollment ID: I20090407000461 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Physical Health Llc 4564 S Harvard Ave, Suite B, Tulsa, OK 74135-2918 Ph: () - | Integrated Physical Health Llc 4564 S Harvard Ave, Suite B, Tulsa, OK 74135-2918 Ph: (918) 231-7832 |
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