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Organization
SMITH FAMILY CHIROPRACTIC & ACUPUNCTURE, INC
Active
Organization
SMITH FAMILY CHIROPRACTIC & ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RAYMOND SMITH DC (OWNER)
(479) 271-6992
Entity
Organization
Contact information
Practice address
1300 SE 14TH ST, SUITE 2, BENTONVILLE, AR 72712-6814
(479) 271-6992
Mailing address
1300 SE 14TH ST, SUITE 2, BENTONVILLE, AR 72712-6814
(479) 271-6992
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154498718
—
AR
01
—
DC4302
RAILROAD MEDICARE GROUP #
—
Enumeration date
01/04/2006
Last updated
04/26/2011
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