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Organization
EGGLESTON CHIROPRACTIC & REHAB, INC.
Active
Organization
EGGLESTON CHIROPRACTIC & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LEE EGGLESTON DC (OWNER)
(479) 575-0105
Entity
Organization
Contact information
Practice address
3000 N MARKET AVE STE C, FAYETTEVILLE, AR 72703-3507
(479) 575-0105
(479) 575-0205
Mailing address
3000 N MARKET AVE STE C, FAYETTEVILLE, AR 72703-3507
(479) 575-0105
(479) 575-0205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1418
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130137718
—
AR
Enumeration date
05/26/2009
Last updated
05/26/2009
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