Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 799 | AR |
NPI | 1083701049 |
---|---|
Provider Name | Dr. Dale Gilbert Huntington SR. |
First Address | Springdale, AR 72764-5434 |
Second Address | Springdale, AR 72764-5434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 05/08/2010 |