| |
402 Davidson St, New Virginia, IA 50210-9606 | |
(641) 449-1108 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 402 Davidson St, New Virginia, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023223427 | NPI | - | NPPES |
0203927 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | A06216 (Iowa) | Primary |
Mailing Address | Practice Location Address |
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Po Box 454, New Virginia, IA 50210-0454 Ph: (641) 449-1108 | 402 Davidson St, New Virginia, IA 50210-9606 Ph: (641) 449-1108 |