NPI | 1073814596 |
---|---|
Former Legal Business Name | STOUT-FERGUSON CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | SAMMIE JO FERGUSON Manager/Co Owner 918-786-8834 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3930) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2020-08-04 |