Individual
DR. PHILLIP KYLE GARRETSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
306 S COLLEGE ST, MOUNTAIN HOME, AR 72653-3945
(870) 425-4222
(870) 425-4223
Mailing address
306 S COLLEGE ST, MOUNTAIN HOME, AR 72653-3945
(870) 425-4222
(870) 425-4223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1106
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59244B739
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
10/26/2006
Last updated
07/08/2007
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