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Organization
QUAD CITY SPINE CLINIC
Active
Organization
QUAD CITY SPINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON ANDREW MARING D.C. (CLINIC SUPERVISOR)
(309) 764-7272
Entity
Organization
Contact information
Practice address
1523 47TH AVE, SUITE 2, MOLINE, IL 61265-7089
(309) 764-7272
(309) 764-6858
Mailing address
1523 47TH AVE, SUITE 2, MOLINE, IL 61265-7089
(309) 764-7272
(309) 764-6858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08132046
BLUE CROSS BLUE SHIELD
IL
01
—
242499
MIDLAND CHOICE
IL
Enumeration date
06/11/2007
Last updated
04/18/2008
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