Individual
MARY ELIZABETH FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2201 11TH ST, ROCK ISLAND, IL 61201-4234
(309) 786-2663
(309) 786-8688
Mailing address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5000
(563) 884-5000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006987
IA
111N00000X
Chiropractor
038.010998
IL
111N00000X
Chiropractor
Primary
5696
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0942560
BCBS
—
Enumeration date
05/17/2006
Last updated
12/05/2008
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