Organization
DR. RYAN HASENCLEVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN DALE HASENCLEVER D.C. (OWNER/PRESIDENT)
(479) 621-9006
Entity
Organization
Contact information
Practice address
302 N 8TH ST, 1, ROGERS, AR 72756-3738
(479) 621-9006
(479) 621-9497
Mailing address
302 N 8TH ST, 1, ROGERS, AR 72756-3738
(479) 621-9006
(479) 621-9497
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1705
AR
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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