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Organization
ARKANSAS PHYSICAL HEALTH & REHAB
Active
Organization
ARKANSAS PHYSICAL HEALTH & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAIR B MASTERS DC (DOCTOR)
(479) 443-0800
Entity
Organization
Contact information
Practice address
1583 MAIN DR, FAYETTEVILLE, AR 72704-5214
(479) 443-0800
(479) 443-5538
Mailing address
1583 MAIN DR, FAYETTEVILLE, AR 72704-5214
(479) 443-0800
(479) 443-5538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1108
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F643
AR BLUE CROSS BUE SHIELD
AR
Enumeration date
11/14/2006
Last updated
08/22/2020
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