Organization
CLARK FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY JO CLARK (DC)
(479) 484-0805
Entity
Organization
Contact information
Practice address
2300 SOUTH 57TH STREET, SUITE 1, FORT SMITH, AR 72903
(479) 484-0805
(479) 452-1475
Mailing address
2300 SOUTH 57TH STREET, SUITE 1, FORT SMITH, AR 72903
(479) 484-0805
(479) 452-1475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1596
AR
111N00000X
Chiropractor
1597
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X057
BCBS
—
01
—
5X058
BCBS
—
Enumeration date
11/21/2006
Last updated
08/22/2020
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