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 |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1992771695 PECOS PAC ID: 3072570498 Enrollment ID: I20041216000561 |
Mailing Address | Practice Location Address |
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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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