BRADLEY DOUGLAS LIDVALL

DAVENPORT, IA
NPI1033725866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IA  101934)
Enumeration Date2020-09-17
Last Update Date2020-09-17
Business Address
Dr. BRADLEY DOUGLAS LIDVALL DC
2220 E 53RD ST
DAVENPORT, IA 52807-2704
Phone number: 480-200-2983
Mailing Address
Dr. BRADLEY DOUGLAS LIDVALL DC
28010 238TH ST
LE CLAIRE, IA 52753-9126
Phone number: 480-200-2983