NPI | 1508965252 |
---|---|
Former Legal Business Name | TERA M EGLESTON DC |
Entity Type | Organization |
Authorized Contact | TERA MARCHELLE EGLESTON Doctor Owner 918-274-2911 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3469) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |