Individual
MR. REX ANTHONY IRELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5940 W JEFFERSON BLVD, FORT WAYNE, IN 46804-1677
(260) 436-8899
(260) 436-1522
Mailing address
5940 W JEFFERSON BLVD, FORT WAYNE, IN 46804-1677
(260) 436-8899
(260) 436-1522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001738A
IN
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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