Individual
DR. DAVID RANIER PAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5801
(563) 884-5470
Mailing address
2027 EMERALD DR, DAVENPORT, IA 52804-1064
(563) 650-3623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06428
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43157
BLUE CROSS BLUE SHIELD IA
IA
Enumeration date
03/17/2006
Last updated
03/06/2014
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