Individual
MR. JAYMOND RYAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2100 MEADOWLAKE RD STE 10, CONWAY, AR 72032-2569
(501) 513-3322
(501) 513-3065
Mailing address
2100 MEADOWLAKE RD STE 10, CONWAY, AR 72032-2569
(501) 513-3322
(501) 513-3065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12457
TX
111N00000X
Chiropractor
Primary
16169
AR
111N00000X
Chiropractor
5441
KY
Other
Enumeration date
03/14/2013
Last updated
02/08/2018
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