NPI | 1174535124 |
---|---|
Former Legal Business Name | PAIN CARE MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DWIGHT K STEWART Officer 501-223-3314 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR MC-2108) |
Enumeration Date | 2006-08-11 |
Last Update Date | 2011-07-13 |