Individual
BRADY DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 NW 18TH ST STE 101, ANKENY, IA 50023-9074
(515) 957-4042
Mailing address
1360 NW 18TH ST STE 101, ANKENY, IA 50023-9074
(515) 957-4042
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
109563
IA
Other
Enumeration date
06/07/2021
Last updated
07/06/2021
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