Jonathan Seubold's National Provider Identifier (NPI) Details
Jonathan Seubold, LAC
NPI: 1073887238
Enumeration Date: 2012-03-05
Last updated: 2012-03-05
Sole Proprietor: NO
Status: active
Postal Address: 3352 N FUTRALL DR, FAYETTEVILLE, AR
Phone: 479-521-1427
Primary Practice Address: 815 FORT ST, STE A, BARLING, AR
Practice's phone: 479-494-5700