| Allen L Diercks Dc Pc | |
|
2322 E Kimberly Rd, Davenport, IA 52807-7205 | |
| (563) 388-9492 | |
| (563) 388-0019 |
| Full Name | Allen L Diercks Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2322 E Kimberly Rd, Davenport, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851623367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4736 (Iowa) | Primary |
| Provider Name | Allen L Diercks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992771695 PECOS PAC ID: 3072570498 Enrollment ID: I20041216000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Allen L Diercks Dc Pc 2322 E Kimberly Rd, Davenport, IA 52807-7205 Ph: (563) 388-9492 | Allen L Diercks Dc Pc 2322 E Kimberly Rd, Davenport, IA 52807-7205 Ph: (563) 388-9492 |
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