Provider Demographics
NPI:1679263669
Name:BIGGS, DREW DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:DANIEL
Last Name:BIGGS
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 1:1100 N 19TH ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:OK
Mailing Address - Zip Code:73542-2404
Mailing Address - Country:US
Mailing Address - Phone:580-305-2009
Mailing Address - Fax:
Practice Address - Street 1:719 W WILLOW AVE STE 2
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-4951
Practice Address - Country:US
Practice Address - Phone:580-305-2009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4555111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor