Individual
MR. TAD SCARBROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-C, DC
Contact information
Practice address
1901 KILLOUGH RD N, WYNNE, AR 72396-4112
(870) 238-8707
(870) 533-5573
Mailing address
PO BOX 572, WYNNE, AR 72396-0572
(870) 238-8707
(870) 533-5573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1544
AR
363LF0000X
Family Nurse Practitioner
Primary
216876
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143884718
—
AR
05
—
158844718
—
AR
Enumeration date
02/17/2006
Last updated
12/13/2021
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