Organization
MOUNTAIN HOME FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TILDEN OSGOOD JR. D.C. (PRESIDENT)
(870) 425-4424
Entity
Organization
Contact information
Practice address
640 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3208
(870) 425-4424
Mailing address
640 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3208
(870) 425-4424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1492
AR
Other
Enumeration date
06/12/2008
Last updated
09/09/2008
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