Organization
UPPER CERVICAL CLINIC OF NORTHWEST ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON CHISM DC (OWNER)
(479) 300-6031
Entity
Organization
Contact information
Practice address
110 SARATOGA WAY STE 5, FARMINGTON, AR 72730-2908
(479) 300-6031
Mailing address
110 SARATOGA WAY STE 5, FARMINGTON, AR 72730-2908
(479) 300-6031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16130
AR
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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