Organization
DEEP ROOTS HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CARLSON DC (OWNER)
(479) 595-8022
Entity
Organization
Contact information
Practice address
103 SW WINSTED LN STE 25, BENTONVILLE, AR 72713-6203
(479) 595-8022
Mailing address
103 SW WINSTED LN STE 25, BENTONVILLE, AR 72713-6203
(479) 595-8022
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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