Organization
CONWAY CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS STEVEN COOPER DC (OWNER)
(501) 336-8181
Entity
Organization
Contact information
Practice address
965 CARSON CV, SUITE A, CONWAY, AR 72034-4842
(501) 336-8181
(501) 336-8211
Mailing address
965 CARSON CV, SUITE A, CONWAY, AR 72034-4842
(501) 336-8181
(501) 336-8211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1278
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G953
PTAN
AR
Enumeration date
02/01/2012
Last updated
02/01/2012
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