| NPI | 1952754251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN GREGORY FAVORITE Chiropractor 479-756-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AR 1676) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |