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Organization

LIFE CLINIC OF IA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REZA ALIZADEH DC (PRESIDENT)
(612) 868-6894
Entity
Organization

Contact information

Practice address
11911 HICKMAN RD, URBANDALE, IA 50323-1814
(612) 868-6894
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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