Organization
GIBSON CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY JEAN GIBSON DC (OWNER PRESIDENT)
(479) 587-0227
Entity
Organization
Contact information
Practice address
93 W COLT SQUARE DR, SUITE 3, FAYETTEVILLE, AR 72703-2814
(479) 587-0227
(479) 587-0227
Mailing address
93 W COLT SQUARE DR, SUITE 3, FAYETTEVILLE, AR 72703-2814
(479) 587-0227
(479) 587-0227
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1322
AR
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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