| NPI | 1689834244 |
|---|---|
| Doing Business As | PROGRESSIVE HEALTH |
| Entity Type | Organization |
| Authorized Contact | VANCE CORNELISON Vice President 501-221-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1606) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AR 1601) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |