Organization
JOHNSON CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK JOHNSON D.C. (OWNER, CEO)
(479) 935-6021
Entity
Organization
Contact information
Practice address
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703-4797
(479) 709-2014
Mailing address
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703-4797
(479) 709-2014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16072
AR
111NR0400X
Rehabilitation Chiropractor
—
—
Other
Enumeration date
05/12/2018
Last updated
11/10/2022
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