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Individual

MR. PHILIP BRYAN LOCKHART

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1641 ASBURY RD, DUBUQUE, IA 52001-5729
(563) 556-8464
(563) 556-0879
Mailing address
1641 ASBURY RD, DUBUQUE, IA 52001-5729
(563) 556-8464
(563) 556-0879

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04225
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0091991
IA
Enumeration date
02/01/2006
Last updated
07/08/2007
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