Organization
ANTHONY B DEXTER A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY B. DEXTER DC (PRESIDENT)
(563) 396-4697
Entity
Organization
Contact information
Practice address
2178 E KIMBERLY RD STE 400, DAVENPORT, IA 52807-2230
(563) 396-4697
Mailing address
25139 252ND AVE, PRINCETON, IA 52768-9721
(701) 570-5648
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
074741
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074741
DC LICENSE
IA
Enumeration date
04/13/2017
Last updated
10/17/2019
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