Health Builders | |
125 Main St Se, Suite A, Gravette, AR 72736-8753 | |
(479) 787-7555 | |
Not Available |
Full Name | Health Builders |
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Type | Facility |
Speciality | Chiropractor |
Location | 125 Main St Se, Gravette, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376834382 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 15,726 (Arkansas) | Primary |
Provider Name | Ty Russell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487961322 PECOS PAC ID: 0143118026 Enrollment ID: I20110714000601 |
Mailing Address | Practice Location Address |
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Health Builders 125 Main St Se, Suite A, Gravette, AR 72736-8753 Ph: (479) 787-7555 | Health Builders 125 Main St Se, Suite A, Gravette, AR 72736-8753 Ph: (479) 787-7555 |
Dr. Ty D Russell, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 207 Atlanta Street S.e., Gravette, AR 72736 Phone: 479-787-7555 Fax: 479-787-7444 | |
Eric Shawn Bailey, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 125 Main St Se, Suite A, Gravette, AR 72736 Phone: 479-787-7555 Fax: 479-787-7444 |