Chad D Spiva | |
808 Ne 19th St Moore OK 73160-6302 | |
(405) 799-5529 | |
(405) 799-8223 |
Full Name | Chad D Spiva |
---|---|
Speciality | Dentist |
Location | 808 Ne 19th St, Moore, Oklahoma |
Authorized Official Name and Position | Chad D Spiva (OWNER) |
Authorized Official Contact | 4057995529 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chad D Spiva 808 Ne 19th St Moore OK 73160-6302 Ph: (405) 799-5529 | Chad D Spiva 808 Ne 19th St Moore OK 73160-6302 Ph: (405) 799-5529 |
NPI Number | 1306011093 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306011093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5497 (Oklahoma) | Primary |
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