| NPI | 1699100164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY MILLER Owner 405-943-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 2502) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: OK 20823) |
| 363A00000X Physician Assistant (Licence: OK 1432) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |