Individual
JEFFREY RAYMOND SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1300 SE 14TH ST, SUITE 2, BENTONVILLE, AR 72712-6814
(479) 271-6992
(471) 271-6993
Mailing address
1300 SE 14TH ST, SUITE 2, BENTONVILLE, AR 72712-6814
(479) 271-6992
(471) 271-6993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1472
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350054931
RAILROAD MEDICARE
—
Enumeration date
01/05/2006
Last updated
09/30/2013
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