Tina Marie Southworth DC

NPI 1023058625 - Chiropractor - 111N00000X

NPI Details
NPI 1023058625
Gender Female
Enumeration Date 06/08/2006
Last Updated 09/12/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
519 N 2ND ST
STILWELL OK, 74960-2407, US
Phone (918) 696-7220
Fax (918) 696-7479
Business Location
519 N 2ND ST
STILWELL OK, 74960-2407, US
Phone (479) 549-5972
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Oklahoma
License Number 3496
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According to our database, Dr. Tina Marie Southworth DC NPI is 1023058625, taxonomy code is 111N00000X and license number is 3496, license state is located at Oklahoma. Tina Marie Southworth DC physically located at 519 N 2nd St, Stilwell OK, 74960-2407. NPI Number Tina Marie Southworth DC has the Individual type.

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1023058625 NPI number is provided on an as is basis without warranty of any kind. 1023058625 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Southworth DC are for informational purposes only.