Individual
CHAD PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A108024
IA
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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