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Organization
ARKANSAS VALLEY CHIROPRACTIC CLINIC,P.A.
Active
Organization
ARKANSAS VALLEY CHIROPRACTIC CLINIC,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL W. PEARSON D.C. (OWNER)
(479) 229-2553
Entity
Organization
Contact information
Practice address
1386 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2915
(479) 229-2553
(479) 229-2554
Mailing address
PO BOX 117, DARDANELLE, AR 72834-0117
(479) 229-2553
(479) 229-2554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
995
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101310718
—
AR
Enumeration date
09/20/2006
Last updated
10/10/2011
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