GRAN MIRACLE CHIROPRACTIC INC PC NPI 1912191503

NPI Information

GRAN MIRACLE CHIROPRACTIC INC PC is a chiropractor in Tulsa, OK. The provider is 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. GRAN MIRACLE CHIROPRACTIC INC PC NPI is 1912191503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3515 E 31ST ST
SUITE C
TULSA, OK
ZIP 74135-520
Phone: (918) 748-9876
Fax: (918) 748-9331

The provider's authorized official is Pack L Miracle .
The authorized official title is President and has the following contact phone number (918) 748-9876.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 11/28/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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