# OZARK FAMILY CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ozark Family Chiropractic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538986211
- **Authorized official:** JACOB WILSON DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (479) 323-1010

## Contact information

- **Practice address:** 572 E CENTERTON BLVD, CENTERTON, AR 72719-6072
- **Practice address phone:** (479) 323-1010
- **Mailing address:** 572 E CENTERTON BLVD, CENTERTON, AR 72719-6072
- **Mailing address phone:** (479) 323-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2024
- **Last updated:** 09/24/2024