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Organization
ADVANCED SPINE AND REHAB CENTER PC
Active
Organization
ADVANCED SPINE AND REHAB CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN MITCHELL D.C. (PRESIDENT)
(319) 981-2292
Entity
Organization
Contact information
Practice address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
(319) 294-0095
Mailing address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
(319) 294-0095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6916
IA
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
27216
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
IA
363L00000X
Nurse Practitioner
110073
IA
Other
Enumeration date
02/12/2007
Last updated
02/02/2016
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