| NPI | 1083629810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L GARDNER Owner/Provider 501-329-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1231) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 4618) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |