Organization
BIG CREEK FAM CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN LOUISE TULLY DC (PRESIDENT)
(515) 421-4700
Entity
Organization
Contact information
Practice address
8450 HICKMAN RD STE 7, CLIVE, IA 50325-4302
(515) 421-4700
(515) 724-7110
Mailing address
8450 HICKMAN RD STE 7, CLIVE, IA 50325-4302
(515) 421-4700
(515) 724-7110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06834
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0485045
—
IA
01
—
05181
BLUE CROSS BLUE SHIELD
IA
Enumeration date
05/09/2007
Last updated
03/31/2014
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