Individual
DR. BROCK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2630 E CITIZENS DR STE 6, FAYETTEVILLE, AR 72703-4797
(479) 935-3021
(479) 777-9921
Mailing address
1583 MAIN DR, FAYETTEVILLE, AR 72704-5214
(479) 443-0800
(479) 443-5535
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16072
AR
Other
Enumeration date
02/24/2015
Last updated
11/10/2022
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