Provider Demographics
NPI:1699884700
Name:FARLEY, ROY SCOTT (DC)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:SCOTT
Last Name:FARLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3314 E 46TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-2926
Mailing Address - Country:US
Mailing Address - Phone:918-488-0660
Mailing Address - Fax:918-488-0560
Practice Address - Street 1:3314 E 46TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-2926
Practice Address - Country:US
Practice Address - Phone:918-488-0660
Practice Address - Fax:918-488-0560
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor