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Individual

DR. JOSEPH MICHAEL DIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3400 MACY RD, STE 30, BENTONVILLE, AR 72712
(479) 273-5855
(479) 273-5010
Mailing address
3400 MACY RD, STE 30, BENTONVILLE, AR 72712
(479) 273-5855
(479) 273-5010

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1665
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5Y637
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/22/2006
Last updated
07/09/2007
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