DR. Ethan Pottebaum, DC

NPI #1568284958 in Clive, Iowa

Provider Information

NPI Number: 1568284958
Entity Type: Individual
Name: DR. Ethan Pottebaum, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 28, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 15920 HICKMAN RD STE 900
City: Clive
State: Iowa
ZIP Code: 50325-8013
Phone: (515) 987-9574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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