Individual
DR. DOUGLAS BRENT GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
350 BETHEL AVE, MAMMOTH SPRING, AR 72554-0157
(870) 625-3355
(870) 625-3356
Mailing address
PO BOX 157, MAMMOTH SPRING, AR 72554-0157
(870) 625-3355
(870) 625-3356
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006314
MO
111N00000X
Chiropractor
Primary
1368
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132121718
—
AR
05
—
758899306
—
MO
Enumeration date
06/29/2006
Last updated
09/01/2011
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