Individual
MR. CAMERON TRACY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8355 UNIVERSITY BLVD, STE H, CLIVE, IA 50325-1162
(515) 225-4422
Mailing address
8355 UNIVERSITY BLVD, STE H, CLIVE, IA 50325-1162
(515) 225-4422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04913
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06753
WELLMARK BCBS
IA
Enumeration date
08/04/2006
Last updated
03/20/2008
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