Individual
DR. CORY MICHAEL OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
237 E MILLSAP RD, SUITE 8, FAYETTEVILLE, AR 72703-6288
(479) 287-4070
(479) 287-4072
Mailing address
237 E MILLSAP RD, SUITE 8, FAYETTEVILLE, AR 72703-6288
(479) 287-4070
(479) 287-4072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15622
AR
Other
Enumeration date
03/04/2009
Last updated
03/09/2009
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