| Dr Samuel Diskerud, | |
|
425 E 22nd St Ste 102, Owasso, OK 74055-4492 | |
| (918) 376-4117 | |
| Not Available |
| Full Name | Dr Samuel Diskerud |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 425 E 22nd St Ste 102, Owasso, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689459208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4565 (Oklahoma) | Primary |
| Provider Name | Peak Wellness Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871930081 PECOS PAC ID: 8224270723 Enrollment ID: O20130813000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Diskerud, 425 E 22nd St Ste 102, Owasso, OK 74055-4492 Ph: (918) 376-4117 | Dr Samuel Diskerud, 425 E 22nd St Ste 102, Owasso, OK 74055-4492 Ph: (918) 376-4117 |
Green Country Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 11560 N 135th East Ave Ste 101a, Owasso, OK 74055 Phone: 918-553-6770 | |
Standridge Clinic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 12707 E 86th St N, Owasso, OK 74055 Phone: 918-272-7432 Fax: 918-272-7448 | |
Dr. Jonathan Ballard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 435 E 2nd Ave, Owasso, OK 74055 Phone: 918-272-8054 Fax: 918-274-8044 | |
Dr. Tracy L. Standridge, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12707 East 86th Street North, Owasso, OK 74055 Phone: 918-272-7432 Fax: 918-272-7448 | |
Dr. Joel Elvin Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13720 E 86th St N, Suite 130, Owasso, OK 74055 Phone: 918-274-3888 Fax: 918-274-3894 | |
Ashlock Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 12899 E 76th St N Ste 101, Owasso, OK 74055 Phone: 918-272-0444 Fax: 918-272-0447 | |
Dr. Russell Dean Cox, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 8434 N 123rd East Ave, Owasso, OK 74055 Phone: 918-272-9400 Fax: 918-272-4606 |