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Individual

PAUL DWIGHT BETTS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2705 PAULA DR, JONESBORO, AR 72404-8017
(870) 713-0738
Mailing address
2100 E MATTHEWS AVE, JONESBORO, AR 72401-4332
(870) 897-3722
(870) 802-0352

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1521
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54532
BLUE CROSS BLUE SHIELD
AR
01
5U532
AR BCBS
AR
01
7119090
AETNA
Enumeration date
11/20/2006
Last updated
05/21/2021
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