NPI | 1255406971 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY JO CLARK Dc 479-484-0805 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1596) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1597) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2020-08-22 |