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NPI Code Detail

MEDICARE: APEX SPINE JOINT & WELLNESS INC

MEDICARE: APEX SPINE JOINT & WELLNESS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1134979271
Entity Type Code : Organization
Provider Name (Legal Business Name) : APEX SPINE JOINT & WELLNESS INC
Provider Business Mailing Address
First Line : 1583 MAIN DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-5214
Country : US
Telephone Number : 479-443-0800
Fax Number :
Provider Business Practice Location Address
First Line : 1583 MAIN DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-5214
Country : US
Telephone Number : 479-443-0800
Fax Number :
Authorized Official
Title or Position : OWNER / PRESIDENT
Name : DR. MICHAEL WARREN
Credential : MD
Telephone Number : 479-443-0800
Provider Enumeration Date : 03/22/2024
Last Update Date : 03/22/2024

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Directions to “APEX SPINE JOINT & WELLNESS INC ” Practice Location

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