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Organization

BUENA VIDA CHIROPRACTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY ORLANDO LE DC (OWNER)
(479) 751-2322
Entity
Organization

Contact information

Practice address
7260 VILLAGE PARK AVE STE A, SPRINGDALE, AR 72762-3074
(479) 751-2332
Mailing address
18044 ASTOR DR, FAYETTEVILLE, AR 72704-6654
(479) 283-8296

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700350378
NPI
AR
Enumeration date
04/23/2019
Last updated
03/05/2025
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