Individual provider · Type 1 NPI
Matthew Peter Viejo, DC
Chiropractor · Broken Arrow, OK
NPI number
1093056178
Active
Practice location
1605 S Eucalyptus Ave Ste 100
Broken Arrow, OK 74012-5996
Mailing address
PO Box 2143
Owasso, OK 74055-8943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4091 (OK) |
Chiropractor: 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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About NPI 1093056178
Matthew Peter Viejo, DC's National Provider Identifier is 1093056178, issued on Mar 14, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Jun 29, 2014.