Most Relevant Information
Provider Data
| NPI Number: | 1003418443 |
| Provider Name: | CASSIDY RANSOM DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 16264 |
Most Important Dates
| Enumeration Date: | 11/11/2020 |
| Last Updated: | 11/11/2020 |
Provider Practice Location
636 W BROADWAY ST
NORTH LITTLE ROCK
AR
721145526
Practice Location Phone/Fax
| Phone: | 5013741153 |
| Fax: | 5013741153 |
Provider Mailing Location
636 W BROADWAY ST
NORTH LITTLE ROCK
AR
721145526
Provider Mailing Phone/Fax
| Phone: | 5013741153 |
| Fax: | 5013746213 |