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Organization
COVENANT MEDICAL CENTER INC
Active
Organization
COVENANT MEDICAL CENTER INC
Active
Other names
MercyOne Bluebell Road Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HUBER (CONTROLLER)
(319) 272-7607
Entity
Organization
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7600
(319) 272-7597
Mailing address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-7600
(319) 272-7597
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05512
IA
Other
Enumeration date
06/09/2006
Last updated
10/10/2024
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