Individual
DR. RYAN DALE HASENCLEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
902B S WALTON BLVD STE 18, BENTONVILLE, AR 72712-5770
(479) 876-8628
(479) 876-8643
Mailing address
902B S WALTON BLVD STE 18, BENTONVILLE, AR 72712-5770
(479) 876-8628
(479) 876-8643
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1705
AR
Other
Enumeration date
08/16/2006
Last updated
04/06/2016
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