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Organization

FRIDERES CHIROPRACTIC CLINIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK DAVID FRIDERES D.C. (PRESIDENT)
(515) 382-2128
Entity
Organization

Contact information

Practice address
1229 SOUTH G AVE BLDG B, NEVADA, IA 50201
(515) 382-2128
(515) 382-3617
Mailing address
1229 SOUTH G AVE BLDG B, NEVADA, IA 50201
(515) 382-2128
(515) 382-3617

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06328
IA

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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