# FAVORITE FAMILY CHIROPRACTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952754251
- **Authorized official:** DR. JUSTIN GREGORY FAVORITE D.C. (CHIROPRACTOR)
- **Authorized official phone:** (479) 756-1155

## Contact information

- **Practice address:** 1127 S GUTENSOHN RD, SUITE 110, SPRINGDALE, AR 72762-5228
- **Practice address phone:** (479) 756-1155
- **Practice address fax:** (479) 756-1130
- **Mailing address:** 1127 S GUTENSOHN RD, SUITE 110, SPRINGDALE, AR 72762-5228
- **Mailing address phone:** (479) 756-1155
- **Mailing address fax:** (479) 756-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1676 | AR | Yes |

## Other

- **Enumeration date:** 07/21/2016
- **Last updated:** 07/21/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5A018 | PTAN | AR |