| NPI | 1366632887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FREDERICK BENNETT Owner 501-374-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| 171100000X Acupuncturist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2008-01-24 |