Evansdale Chiropractic Clinic, Plc

NPI #1477581478 in Evansdale, Iowa

Provider Information

NPI Number: 1477581478
Entity Type: Organization
Organization Name: Evansdale Chiropractic Clinic, Plc
Primary Specialty: Chiropractor
Enumeration Date: Jun 29, 2006
Last Updated: Feb 3, 2015

Practice Location

Address: 209 S EVANS RD
City: Evansdale
State: Iowa
ZIP Code: 50707-1121
Phone: (319) 234-4872

Authorized Official

Name: MR. DUANE A WIDEN, D.C./DI BCN
Title: OWNER
Phone: (319) 234-4872

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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