Humberto Acevedo, DC | |
102 S Sidney Ave Ste A, Russellville, AR 72801-5348 | |
(509) 388-5329 | |
Not Available |
Full Name | Humberto Acevedo |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 102 S Sidney Ave Ste A, Russellville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750031191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | P16332 (Arkansas) | Primary |
Provider Name | Delp Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104249101 PECOS PAC ID: 5193940294 Enrollment ID: O20140703001119 |
Mailing Address | Practice Location Address |
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Humberto Acevedo, DC Po Box 393, Russellville, AR 72811-0393 Ph: (509) 388-5329 | Humberto Acevedo, DC 102 S Sidney Ave Ste A, Russellville, AR 72801-5348 Ph: (509) 388-5329 |
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