| NPI | 1457621690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX PAUL BRADY DECLERK Chiropractor 501-850-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 15639) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-01-05 |