Individual
DR. JACK MASON RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
100 NE CHICORY LN, BENTONVILLE, AR 72712-4802
(913) 708-4133
Mailing address
100 NE CHICORY LN, BENTONVILLE, AR 72712-4802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12466
AR
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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