Individual
DR. BRENT JAMES DEROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1128 SUNSET DR, NORWALK, IA 50211-1340
(515) 981-0036
Mailing address
1128 SUNSET DR, NORWALK, IA 50211-1340
(515) 981-0036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007170
IA
Other
Enumeration date
03/30/2009
Last updated
09/30/2014
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