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Organization
COPPES CHIROPRACTIC PC
Active
Organization
COPPES CHIROPRACTIC PC
Active
Other names
Advance Chiropractic Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ANDREW COPPES D.C. (PRESIDENT)
(319) 752-1460
Entity
Organization
Contact information
Practice address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Mailing address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462218
—
IA
01
—
DD6644
RR MEDICARE
IA
Enumeration date
02/28/2007
Last updated
12/12/2017
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