NPI | 1972704252 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT D BOGGS President 405-636-4078 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3421) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OK 3462) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2015-09-18 |