Organization
FAVORITE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN GREGORY FAVORITE D.C. (CHIROPRACTOR)
(479) 756-1155
Entity
Organization
Contact information
Practice address
1127 S GUTENSOHN RD, SUITE 110, SPRINGDALE, AR 72762-5228
(479) 756-1155
(479) 756-1130
Mailing address
1127 S GUTENSOHN RD, SUITE 110, SPRINGDALE, AR 72762-5228
(479) 756-1155
(479) 756-1130
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1676
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5A018
PTAN
AR
Enumeration date
07/21/2016
Last updated
07/21/2016
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