Valhalla Training Grounds Inc. | |
1749 E 54th St, Davenport, IA 52807-2769 | |
(563) 387-9999 | |
Not Available |
Full Name | Valhalla Training Grounds Inc. |
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Type | Facility |
Speciality | Chiropractor |
Location | 1749 E 54th St, 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 |
---|---|---|---|
1871267526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brandi Nicole Said |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1457996019 PECOS PAC ID: 5092149708 Enrollment ID: I20210820002967 |
Mailing Address | Practice Location Address |
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Valhalla Training Grounds Inc. 1749 E 54th St, Davenport, IA 52807-2769 Ph: (563) 387-9999 | Valhalla Training Grounds Inc. 1749 E 54th St, Davenport, IA 52807-2769 Ph: (563) 387-9999 |
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