NPI | 1225241391 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER R BULLINGTON Owner 479-648-1722 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AR 1305) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |