114 N Pittman LLC

NPI #1407604572 in Prairie Grove, Arkansas

Provider Information

NPI Number: 1407604572
Entity Type: Organization
Organization Name: 114 N Pittman LLC
Primary Specialty: Chiropractor
Enumeration Date: May 13, 2024
Last Updated: May 13, 2024

Practice Location

Address: 114 N PITTMAN ST
City: Prairie Grove
State: Arkansas
ZIP Code: 72753-2934
Phone: (479) 846-4110

Authorized Official

Name: DR. ALEC SPENCER, DC
Title: OWNER
Phone: (630) 699-6211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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