Individual
DR. SCOTT RAVN ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7302 NW 19TH ST, ANKENY, IA 50023-9374
(641) 780-9634
Mailing address
7302 NW 19TH ST, ANKENY, IA 50023-9374
(641) 780-9634
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05758
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109132
—
IA
01
—
15746
WELLMARK BCBS
IA
Enumeration date
11/02/2006
Last updated
05/03/2021
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