Organization
WYNNE CHIROPRACTIC CLINIC, INC
Active
Other names
BUTLER CHIROPRACTIC CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DOUGLAS BUTLER D.C. (PRESIDENT)
(870) 523-5257
Entity
Organization
Contact information
Practice address
2301 HIGHWAY 367 N, NEWPORT, AR 72112-2325
(870) 523-5257
(870) 523-5263
Mailing address
2301 HIGHWAY 367 N, NEWPORT, AR 72112-2325
(870) 523-5257
(870) 523-5263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1155
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136123718
—
AR
Enumeration date
06/27/2007
Last updated
07/26/2010
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