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NPI Code Detail

MEDICARE: BOBBY R PRITCHETT DC, CCSP

MEDICARE: BOBBY R PRITCHETT DC, CCSP
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
1111N00000XChiropractor16087AR

General Provider Information

NPI Number : 1386037463
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBY R PRITCHETT DC, CCSP
Provider Business Mailing Address
First Line : PO BOX 1523
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72702-1523
Country : US
Telephone Number : 479-571-6038
Fax Number : 479-582-0222
Provider Business Practice Location Address
First Line : 3561 JOHNSON MILL BLVD STE 101
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-5065
Country : US
Telephone Number : 479-571-8400
Fax Number : 479-571-8401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2015
Last Update Date : 04/26/2024

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