Organization
GOLD COAST CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA ROGERS (CHIROPRACTOR)
(563) 340-9197
Entity
Organization
Contact information
Practice address
604 WEST 5TH STREET, DAVENPORT, IA 52801
(563) 340-9197
Mailing address
604 WEST 5TH STREET, DAVENPORT, IA 52801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007101
IA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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