Organization
MERRITT CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD PAUL MERRITT D.C. (CHIROPRACTER)
(563) 359-7298
Entity
Organization
Contact information
Practice address
2213 E 52ND ST, SUITE A, DAVENPORT, IA 52807-2785
(563) 359-7298
(563) 359-4469
Mailing address
2213 E 52ND ST, SUITE A, DAVENPORT, IA 52807-2785
(563) 359-7298
(563) 359-4469
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0454397
—
IA
01
—
10013
WELMARK
IA
Enumeration date
12/27/2006
Last updated
08/22/2020
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