Individual
RUSSELL PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1386 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2915
(479) 229-2553
Mailing address
PO BOX 117, DARDANELLE, AR 72834-0117
(479) 229-2553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
995
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101310718
—
AR
Enumeration date
01/21/2006
Last updated
11/02/2007
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