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Grand Lake Chiropractic Pllc
Chiropractor in Grove, Oklahoma
NPI 1174777544

Grand Lake Chiropractic Pllc is a Chiropractor based in Grove, OK. Grand Lake Chiropractic Pllc practices in Grove, OK. The NPI Number for Grand Lake Chiropractic Pllc is 1174777544 and holds a License No. 2575 (Oklahoma).

The current practice location address for Grand Lake Chiropractic Pllc is 240 E 3Rd St, Grove, OK and can be reached out via phone at 918-786-2442 and via fax at 918-786-2634.

Location: 240 E 3Rd St, Grove, OK, 74345-0638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174777544
Provider Name
Grand Lake Chiropractic Pllc
Credential
Provider Entity Type
Organization
Address
240 E 3Rd St, Grove, OK, 74345-0638
Phone Number
918-786-2442
Fax Number
918-786-2634
Provider Enumeration Date
11/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100724160A 05 OK
institution
Provider Business Practice Location Address Details
Address
240 E 3Rd St
City
Grove
State
Oklahoma
Zip
74344-7072
Phone Number
918-786-2442
Fax Number
918-786-2634
person
Provider Business Mailing Address Details
Address
240 E 3Rd St
City
Grove
State
Oklahoma
Zip
74344-7072
Phone Number
918-786-2442
Fax Number
918-786-2634
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2575 (Oklahoma)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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