NPI | 1649588500 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW DIETZ President/ Doctor 319-393-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06793) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IL 038.010487) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2010-09-14 |