# FOREST PARK MEDICAL AND CHIROPRACTIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124034947
- **Authorized official:** DR. JON HARROL DODSON M.D. (PRESIDENT)
- **Authorized official phone:** (501) 661-1303

## Contact information

- **Practice address:** 1119 S VAN BUREN ST, LITTLE ROCK, AR 72204-1847
- **Practice address phone:** (501) 661-1303
- **Practice address fax:** (501) 661-1323
- **Mailing address:** 1119 S VAN BUREN ST, LITTLE ROCK, AR 72204-1847
- **Mailing address phone:** (501) 661-1303
- **Mailing address fax:** (501) 661-1323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | C3397 | AR | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 03/27/2008
