Healthcare Provider Details

I. General information

NPI: 1336068279
Provider Name (Legal Business Name): MARIANA MAGANA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 S PINNACLE HILLS PKWY STE 430
ROGERS AR
72758-9091
US

IV. Provider business mailing address

1606 S 24TH PL
ROGERS AR
72758-6141
US

V. Phone/Fax

Practice location:
  • Phone: 479-633-0279
  • Fax:
Mailing address:
  • Phone: 479-856-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number12497
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: