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Organization

TICE CHIROPRACTIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN D TICE DC (PRESIDENT)
(870) 364-9540
Entity
Organization

Contact information

Practice address
1211 HIGHWAY 133 N, CROSSETT, AR 71635-4843
(870) 364-9540
(870) 364-9840
Mailing address
1211 HIGHWAY 133 N, CROSSETT, AR 71635-4843
(870) 364-9540
(870) 364-9840

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AR

Other

Enumeration date
04/19/2006
Last updated
09/01/2010
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