Individual
DR. RONALD D COLCLASURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
218 E D AVE, NORTH LITTLE ROCK, AR 72116-8811
(501) 758-0812
(501) 758-7399
Mailing address
218 E D AVE, NORTH LITTLE ROCK, AR 72116-8811
(501) 758-0812
(501) 758-7399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
768
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14688000040
QUALCHOICE
AR
01
—
4420007
UNITED HEALTHCARE
AR
Enumeration date
05/11/2007
Last updated
07/08/2007
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