Individual
BENJAMIN MATTHEW PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2109 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-2833
(479) 751-7771
(479) 751-8586
Mailing address
2109 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-2833
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16324
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280113718
—
AR
Enumeration date
02/07/2022
Last updated
03/08/2023
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