Individual
TRACY L HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1122 MAIN ST STE 4, VILONIA, AR 72173-8902
(501) 796-3106
(501) 796-3206
Mailing address
1122 MAIN ST STE 4, VILONIA, AR 72173-8902
(501) 796-3106
(501) 796-3206
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1273
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59922
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/11/2006
Last updated
07/08/2007
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