Dynamic Chiropractic And Wellness Pllc | |
280 Ashworth Dr, Waukee, IA 50263-9763 | |
(515) 554-4613 | |
Not Available |
Full Name | Dynamic Chiropractic And Wellness Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 280 Ashworth Dr, Waukee, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427673847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Logan James Davis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972070951 PECOS PAC ID: 2163776469 Enrollment ID: I20181126000311 |
Mailing Address | Practice Location Address |
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Dynamic Chiropractic And Wellness Pllc 280 Ashworth Dr, Waukee, IA 50263-9763 Ph: (515) 554-4613 | Dynamic Chiropractic And Wellness Pllc 280 Ashworth Dr, Waukee, IA 50263-9763 Ph: (515) 554-4613 |
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