Individual
RANDALL JAY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
257 AIRPORT RD, OZARK, AR 72949-9200
(479) 667-9760
(479) 667-1602
Mailing address
257-B AIRPORT RD, OZARK, AR 72949-9266
(479) 667-9760
(479) 667-1606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1531
AR
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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