NPI 1245650589

Miranov Chiropractic

Organisation Chiropractor Enid, OK

Practice location

Address: 109 E Broadway Ave, Enid, OK 73701-4117
Phone: (580) 540-9630
Fax: (580) 540-9631

Authorised official

Name: Jason Brent Miranov
Title: Owner/Chiropractor
Phone: (580) 540-9630

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 4061 (OK)

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Registry record

NPI: 1245650589
Entity type: Organization
NPI issued: 25 Apr 2014
Record last updated: 25 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.