Individual
RUSSELL JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
524 W DAISY L GATSON BATES DR, LITTLE ROCK, AR 72202-4816
(501) 960-3292
Mailing address
PO BOX 2638, LITTLE ROCK, AR 72203-2638
(501) 960-3292
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1140
AR
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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