NPI | 1982089025 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN M GERARD Doctor Of Chiropractic 563-223-9120 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 078973) |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: IA 078973) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-09-01 |