Individual
DR. BLAKE W BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1727 T P WHITE DR, JACKSONVILLE, AR 72076-2861
(501) 985-7711
(501) 985-8385
Mailing address
1727 T P WHITE DR, JACKSONVILLE, AR 72076-2861
(501) 985-7711
(501) 985-8385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1412
AR
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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