Individual
DR. STANLEY ALBERT DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.C.
Contact information
Practice address
1601 MCPHERSON AVE, COUNCIL BLUFFS, IA 51503-5167
(712) 328-1625
(712) 388-0389
Mailing address
701 HAZEL ST, COUNCIL BLUFFS, IA 51503-5048
(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
Enumeration date
01/12/2007
Last updated
07/08/2007
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