Individual ProviderBlair B MastersChiropractorChiropractic ProvidersPractice Address1583 Main Dr, Fayetteville, AR 72704-5214(479) 443-0800PECOS EnrollmentBased on the most recent information from CMS, provider Blair B Masters does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1114907854Provider TypeIndividualFull NameMasters, Blair BTitleDr.CredentialDCGenderMaleEnumeration Date1/19/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address1583 Main Dr, Fayetteville, AR 72704-5214Phone(479) 443-0800Fax(479) 443-5538Mailing LocationMailing Address1583 Main Dr, Fayetteville, AR 72704-5214Phone(479) 443-0800Fax(479) 443-5538Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense1108Arkansas