Organization
NWA CHIROPRACTIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP EDWARD BLAND D.C. (PRESIDENT)
(479) 435-1051
Entity
Organization
Contact information
Practice address
1502 W PLEASANT GROVE RD, LOWELL, AR 72745-4513
(479) 633-8917
(479) 340-0220
Mailing address
1502 W PLEASANT GROVE RD, LOWELL, AR 72745-4513
(479) 633-8917
(479) 340-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1594
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170494718
—
AR
Enumeration date
12/31/2007
Last updated
05/10/2022
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