Individual
MR. CHAD ALLYN GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(208) 407-5863
Mailing address
2960 SALEM OAKS DR, CONWAY, AR 72034-5028
(208) 407-5863
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12484
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
03/04/2026
Last updated
04/27/2026
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