Individual
DR. L. ANTHONY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903
Mailing address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06168
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1289728
—
IA
Enumeration date
08/17/2005
Last updated
12/10/2007
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