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Organization
319 SPORT AND SPINE LLC
Active
Organization
319 SPORT AND SPINE LLC
Active
Other names
319 Sport and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON D HAYWARD DC (OWNER)
(319) 327-4416
Entity
Organization
Contact information
Practice address
2000 SWAN LAKE BLVD STE 2, INDEPENDENCE, IA 50644-2743
(319) 327-4416
Mailing address
2000 SWAN LAKE BLVD STE 2, INDEPENDENCE, IA 50644-2743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
05/03/2023
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