Healthcare Provider Details

I. General information

NPI: 1871557710
Provider Name (Legal Business Name): DARIN L OXFORD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 CHEROKEE AVE
SENECA MO
64865-9206
US

IV. Provider business mailing address

PO BOX 525 1033 CHEROKEE AVE
SENECA MO
64865-0525
US

V. Phone/Fax

Practice location:
  • Phone: 417-776-2220
  • Fax: 417-776-2228
Mailing address:
  • Phone: 417-776-2220
  • Fax: 417-776-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2003002105
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: