| NPI | 1407060486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK DURRELL COFFMAN Chiropractor 918-749-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3398) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-09-06 |