| NPI | 1902079692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK B. PHILLIPS Owner/Physician 580-357-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: OK 1907) |
| Additional Taxonomies | 111NR0400X (Licence: OK 1907) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: OK 1907) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2012-04-26 |