Moline Chiropractic Clinic, PC

NPI #1932389202 in Moline, Illinois

Provider Information

NPI Number: 1932389202
Entity Type: Organization
Organization Name: Moline Chiropractic Clinic, PC
Primary Specialty: Chiropractor
Enumeration Date: Nov 5, 2007
Last Updated: Nov 5, 2007

Practice Location

Address: 4300 12TH AVE
City: Moline
State: Illinois
ZIP Code: 61265-2511
Phone: (309) 764-4753

Authorized Official

Name: JAMES R VANA, DC
Title: OWNER
Phone: (309) 764-4753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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