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Individual

DR. CHARLES DAVID CORAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1941 ALBIA RD, OTTUMWA, IA 52501-3708
(641) 682-3993
Mailing address
1941 ALBIA RD, OTTUMWA, IA 52501-3708
(641) 682-3993

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
A06164
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0185058
IA
Enumeration date
08/22/2006
Last updated
07/08/2007
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