| NPI | 1386396612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATTHEW GRISWOLD Doctor Of Chiropractic 918-212-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |