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Organization
DIETRICH CHIROPRACTIC PC
Active
Organization
DIETRICH CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L ANTHONY DIETRICH D.C. (PRESIDENT)
(563) 386-4798
Entity
Organization
Contact information
Practice address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903
Mailing address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0488312
—
IA
Enumeration date
01/30/2007
Last updated
12/04/2023
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