Organization
IMPACT HEALTH
Active
Organization
IMPACT HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY J ROEDER III D.C. (OWNER/CHIROPRACTOR)
(479) 254-3999
Entity
Organization
Contact information
Practice address
1401 SE WALTON BLVD, 113, BENTONVILLE, AR 72712-3759
(479) 254-3999
(479) 254-3998
Mailing address
1401 SE WALTON BLVD, 113, BENTONVILLE, AR 72712-3759
(479) 254-3999
(479) 254-3998
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
154720
AR
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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