Healthcare Provider Details
I. General information
NPI: 1679263669
Provider Name (Legal Business Name): DREW DANIEL BIGGS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2023
Last Update Date: 05/11/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
719 W WILLOW AVE STE 2
DUNCAN OK
73533-4951
US
IV. Provider business mailing address
1100 N 19TH ST
FREDERICK OK
73542-2404
US
V. Phone/Fax
- Phone: 580-305-2009
- Fax:
- Phone: 580-305-2009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 4555 |
| License Number State | OK |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: