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Organization
UPPER CERVICAL CLINIC OF NORTHWEST ARKANSAS
Active
Organization
UPPER CERVICAL CLINIC OF NORTHWEST ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON CHISM DC (OWNER)
(479) 300-6031
Entity
Organization
Contact information
Practice address
110 SARATOGA WAY STE 5, FARMINGTON, AR 72730-2908
(479) 300-6031
Mailing address
110 SARATOGA WAY STE 5, FARMINGTON, AR 72730-2908
(479) 300-6031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16130
AR
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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