Individual
DR. THOMAS DAVID UNDERHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2803 W MAIN ST, RUSSELLVILLE, AR 72801-2470
(479) 967-4030
(479) 967-3713
Mailing address
PO BOX 600, RUSSELLVILLE, AR 72811-0600
(479) 967-4030
(479) 967-3713
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1242
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134606718
—
AR
01
—
653126
UNITED HEALTH CARE
AR
01
—
71069775950
QUAL CHOICE
AR
01
—
7366212
AETNA
AR
Enumeration date
01/18/2007
Last updated
03/13/2014
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