Organization
DERRICK J. BENNER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK JAMES BENNER D.C. (PRESIDENT)
(319) 243-8393
Entity
Organization
Contact information
Practice address
226 BRANDILYNN BLVD, CEDAR FALLS, IA 50613-7410
(319) 277-1819
(319) 277-1907
Mailing address
226 BRANDILYNN BLVD, CEDAR FALLS, IA 50613-7410
(319) 277-1819
(319) 277-1907
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007451
IA
261Q00000X
Clinic/Center
007451
IA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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