Organization
PEERBOLTE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD J PEERBOLTE DC (PARTNER)
(712) 243-1554
Entity
Organization
Contact information
Practice address
404 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-1554
Mailing address
404 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-1554
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06801
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016212
—
IA
Enumeration date
08/21/2015
Last updated
08/21/2015
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