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Organization

CLINTON BACK & NECK CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELA ANN LEROUXTROXELL DC (CLINIC DIRECTOR)
(563) 242-5375
Entity
Organization

Contact information

Practice address
242 N BLUFF BLVD, SUITE 201, CLINTON, IA 52732-7119
(563) 242-5375
(563) 242-5264
Mailing address
242 N BLUFF BLVD, SUITE 201, CLINTON, IA 52732-7119
(563) 242-5375
(563) 242-5264

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
03059
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0173070
IA
01
44968
WELLMARK
IA
01
CI2542
RAILROAD MEDICARE
IA
Enumeration date
05/27/2006
Last updated
12/10/2007
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