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Organization

SPENCER CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN W SPENCER D.C. (DOCTOR)
(479) 434-4120
Entity
Organization

Contact information

Practice address
9000 ROGERS AVE, SUITE C, FORT SMITH, AR 72903
(479) 434-4120
(479) 434-4170
Mailing address
9000 ROGERS AVE, SUITE C, FORT SMITH, AR 72903
(479) 434-4120
(479) 434-4170

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59745
MEDICARE PTAN
AR
Enumeration date
01/22/2015
Last updated
01/22/2015
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