Organization
TRIAD WELLNESS AND PERFORMANCE P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH N JIMENEZ D.C. (PRESIDENT)
(563) 324-2225
Entity
Organization
Contact information
Practice address
2035 BRIDGE AVE, DAVENPORT, IA 52803-2478
(563) 324-2225
Mailing address
2035 BRIDGE AVE, DAVENPORT, IA 52803-2478
(563) 324-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007173
IA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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