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Organization
DIRKS CHIROPRACTIC CENTER PC
Active
Organization
DIRKS CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY ALBERT DIRKS MS DC (PRES SEC TREAS)
(712) 328-1625
Entity
Organization
Contact information
Practice address
1601 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503
(712) 328-1625
(712) 388-0389
Mailing address
1601 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503
(712) 328-1625
(712) 388-0389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04944
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208868
—
IA
01
—
20886
BCBS
IA
01
—
22690
MIDLANDS CHOICE PIN
—
01
—
35005194
MEDICARE UHC
—
01
—
3602
UPREHS
—
Enumeration date
04/18/2006
Last updated
08/22/2020
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