Organization
ACTIVE CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R DORNBUSH D.C. (PRESIDENT)
(563) 242-9343
Entity
Organization
Contact information
Practice address
1001 13TH AVE N, CLINTON, IA 52732-3403
(563) 242-9343
Mailing address
1001 13TH AVE N, CLINTON, IA 52732-3403
(563) 242-9343
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
A06166
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180513
—
IA
Enumeration date
02/10/2014
Last updated
02/10/2014
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