Organization
TRI-MED HEALTH & WELLNESS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHELL ROBERT MALLY D.C. (CLINIC DIRECTOR)
(563) 823-5555
Entity
Organization
Contact information
Practice address
4915 UTICA RIDGE RD, DAVENPORT, IA 52807-3063
(563) 823-5555
(563) 823-5556
Mailing address
PO BOX 2709, DAVENPORT, IA 52809-2709
(563) 823-5555
(563) 823-5556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1192278
—
IA
01
—
T01112
UPIN
IA
Enumeration date
08/14/2007
Last updated
03/31/2011
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