Individual
DR. ANETHON THIRAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1710 W 1ST ST, ANKENY, IA 50023-2526
(515) 964-3000
Mailing address
5728 SE 30TH CT, DES MOINES, IA 50320-2170
(515) 783-7994
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
127063
IA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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