| NPI | 1336196195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN LEROUXTROXELL Clinic Director 563-242-5375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 03059) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-12-10 |