Mr Jaymond Ryan Clark, DC | |
2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 | |
(501) 513-3322 | |
(501) 513-3065 |
Full Name | Mr Jaymond Ryan Clark |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 2100 Meadowlake Rd Ste 10, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023359155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 12457 (Texas) | Secondary |
111N00000X | Chiropractor | 5441 (Kentucky) | Secondary |
111N00000X | Chiropractor | 16169 (Arkansas) | Primary |
Provider Name | Parker University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669582680 PECOS PAC ID: 7810945466 Enrollment ID: O20050110001086 |
Mailing Address | Practice Location Address |
---|---|
Mr Jaymond Ryan Clark, DC 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 Ph: (501) 513-3322 | Mr Jaymond Ryan Clark, DC 2100 Meadowlake Rd Ste 10, Conway, AR 72032-2569 Ph: (501) 513-3322 |
Lauren Garrison, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 775 Amity Rd, Conway, AR 72032 Phone: 501-504-6999 Fax: 501-205-8431 | |
Power Spine & Sport Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 2655 Donaghey Ave Ste 101, Conway, AR 72032 Phone: 501-459-5010 | |
Dr. Tara Lynn Gardner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak St, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282 | |
Dr. Lee W Hodge, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 797 Teal Drive, Conway, AR 72034 Phone: 501-329-2774 Fax: 501-327-0907 | |
Crown Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2915 Dave Ward Dr, Suite 8, Conway, AR 72034 Phone: 501-205-1933 Fax: 501-358-5004 | |
Gardner Chiropractic Clinic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak Street, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282 |