Individual provider · Type 1 NPI
Broc S. Derryberry, DC
Chiropractor · Oklahoma City, OK
NPI number
1750506838
Active
Practice location
5700 SE 74th St, Ste 300
Oklahoma City, OK 73135
Fax (405) 701-5778
Mailing address
5700 SE 74th St., Ste 300
Oklahoma City, OK 73135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 3816 (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.
2 other providers at this address
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About NPI 1750506838
Broc S. Derryberry, DC's National Provider Identifier is 1750506838, issued on Apr 16, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 5, 2016.