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NPI Code Detail

MEDICARE: DR. BLAIR B MASTERS DC

MEDICARE: DR. BLAIR B MASTERS DC
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
1111N00000XChiropractor1108AR

General Provider Information

NPI Number : 1114907854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BLAIR B MASTERS DC
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 : 479-443-5538
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 : 479-443-5538
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 07/09/2007

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Directions to “ DR. BLAIR B MASTERS DC” Practice Location

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