Organization
SLAYMAKER CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH R SLAYMAKER D.C. (PRESIDENT)
(319) 363-2566
Entity
Organization
Contact information
Practice address
1803 1ST AVE SE, CEDAR RAPIDS, IA 52402-5434
(319) 363-2566
Mailing address
1803 1ST AVE SE, CEDAR RAPIDS, IA 52402-5434
(319) 363-2566
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IA06531
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0286039
—
IA
01
—
30557
BLUE CROSS BLUE SHIELD ID
IA
Enumeration date
11/26/2007
Last updated
11/26/2007
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