Organization
ADVANCE CHIROPRACTIC AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY DEREK HUDDLESTON DC (OWNER)
(501) 366-1919
Entity
Organization
Contact information
Practice address
301 N SHACKLEFORD RD STE F1, LITTLE ROCK, AR 72211-2887
(501) 404-8910
Mailing address
11900 PLEASANT RIDGE RD APT 1322, LITTLE ROCK, AR 72223-2486
(501) 366-1919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
08/26/2022
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