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Organization
MELCHER-DALLAS CSD
Active
Organization
MELCHER-DALLAS CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN M SPIEGEL (SBO/TREASURER)
(618) 713-2169
Entity
Organization
Contact information
Practice address
214 S MAIN ST, MELCHER DALLAS, IA 50163-7815
(647) 947-3731
Mailing address
PO BOX 489, 214 S. MAIN ST., MELCHER DALLAS, IA 50163-0489
(647) 947-3731
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
NULL
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/07/2013
Last updated
12/07/2015
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