| NPI | 1700014149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN EUGENE SCHMIDT Member Manager 405-509-7017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3927) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2011-11-16 |