| |
130 Houston Ave, Perryville, AR 72126-9451 | |
(501) 889-5555 | |
(501) 851-6495 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 130 Houston Ave, Perryville, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184103376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 16033 (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
103 Park Dr, Maumelle, AR 72113-7407 Ph: (501) 851-6685 | 130 Houston Ave, Perryville, AR 72126-9451 Ph: (501) 889-5555 |