Organization
BAILEY HEALTH CENTER, LLC
Active
Other names
Health Builders
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY D RUSSELL DC (OWNER)
(479) 787-7555
Entity
Organization
Contact information
Practice address
125 MAIN ST SE, SUITE A, GRAVETTE, AR 72736-8753
(479) 787-7555
Mailing address
125 MAIN ST SE, SUITE A, GRAVETTE, AR 72736-8753
(479) 787-7555
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15,726
AR
Other
Enumeration date
04/25/2011
Last updated
10/14/2011
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