Organization
COPPES CHIROPRACTIC PC
Active
Other names
Advance Chiropractic Center PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN ANDREW COPPES D.C. (PRESIDENT)
(319) 752-1460
Entity
Organization
Contact information
Practice address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Mailing address
3115 AGENCY ST, BURLINGTON, IA 52601-1908
(319) 752-1460
(319) 752-1461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462218
—
IA
01
—
DD6644
RR MEDICARE
IA
Enumeration date
02/28/2007
Last updated
12/12/2017
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