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Individual

DR. JUSTIN BEAGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
302 SW 6TH ST STE 12, BENTONVILLE, AR 72712-5771
(479) 268-5453
Mailing address
302 SW 6TH ST STE 12, BENTONVILLE, AR 72712-5771
(479) 268-5453

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16037
AR
111NN1001X
Nutrition Chiropractor
16037
AR
111NR0400X
Rehabilitation Chiropractor
16037
AR

Other

Enumeration date
10/21/2013
Last updated
01/31/2020
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