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Organization

BROWN CHIROPRACTIC CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIKEL R BROWN D.C. (PRESIDENT)
(479) 968-1181
Entity
Organization

Contact information

Practice address
2101 W MAIN ST, RUSSELLVILLE, AR 72801-2757
(479) 968-1181
(479) 967-7279
Mailing address
2101 W MAIN ST, RUSSELLVILLE, AR 72801-2757
(479) 968-1181
(479) 967-7279

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
897
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103794718
AR
Enumeration date
03/23/2007
Last updated
02/01/2011
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