| NPI | 1518260975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP CAMERON MAYNARD Chiropractor 918-704-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3994) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |