| NPI | 1053678508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CAMERON MAYNARD Doctor/Owner 918-872-8653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3994) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2024-06-25 |