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Organization

EGGLESTON CHIROPRACTIC & REHAB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL LEE EGGLESTON DC (OWNER)
(479) 575-0105
Entity
Organization

Contact information

Practice address
3000 N MARKET AVE STE C, FAYETTEVILLE, AR 72703-3507
(479) 575-0105
(479) 575-0205
Mailing address
3000 N MARKET AVE STE C, FAYETTEVILLE, AR 72703-3507
(479) 575-0105
(479) 575-0205

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1418
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130137718
AR
Enumeration date
05/26/2009
Last updated
05/26/2009
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