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Individual

DR. WILLIS J CASTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2227 W BROADWAY, COUNCIL BLUFFS, IA 51501
(712) 322-8241
(712) 322-8250
Mailing address
2227 W BROADWAY, COUNCIL BLUFFS, IA 51501
(712) 322-8241
(712) 322-8250

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4179
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0091355
IA
Enumeration date
06/13/2006
Last updated
07/08/2007
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