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NPI Code Detail

MEDICARE: DR. GABRIEL CARROLL D.C.

MEDICARE: DR. GABRIEL CARROLL D.C.
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
1111N00000XChiropractor16133AR

General Provider Information

NPI Number : 1518320803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GABRIEL CARROLL D.C.
Provider Business Mailing Address
First Line : 1271 N STEAMBOAT DR
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-6079
Country : US
Telephone Number : 479-435-6834
Fax Number :
Provider Business Practice Location Address
First Line : 1271 N STEAMBOAT DR STE 1
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72704-6263
Country : US
Telephone Number : 479-435-6834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2016
Last Update Date : 02/06/2024

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Directions to “ DR. GABRIEL CARROLL D.C.” Practice Location

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