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Dr. Dale Wayne Maynard JR., DC
Chiropractor in Del City, Oklahoma
NPI 1376669986

Dale Wayne Maynard JR. is a Chiropractor based in Del City, OK. Dale Wayne Maynard JR. practices in Del City, OK and has the professional credentials of DC. The NPI Number for Dale Wayne Maynard JR. is 1376669986 and holds a License No. 3752 (Oklahoma).

The current practice location address for Dale Wayne Maynard JR. is 5113 Se 15Th St Ste C, Del City, OK and can be reached out via phone at 405-601-0700 and via fax at 405-605-5776.

Location: 5113 Se 15Th St Ste C, Del City, OK, 73115-3952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376669986
Provider Name
Dale Wayne Maynard JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5113 Se 15Th St Ste C, Del City, OK, 73115-3952
Phone Number
405-601-0700
Fax Number
405-605-5776
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
432065001-001 01 OK BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
5113 Se 15Th St Ste C
City
Del City
State
Oklahoma
Zip
73115-3952
Phone Number
405-601-0700
Fax Number
405-605-5776
person
Provider Business Mailing Address Details
Address
5113 Se 15Th St Ste C
City
Del City
State
Oklahoma
Zip
73115-3952
Phone Number
405-601-0700
Fax Number
405-605-5776
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3752 (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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