Organization
ADVANCED SPINE AND REHAB CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ALAN MITCHELL D.C. (PRESIDENT)
(319) 981-2292
Entity
Organization
Contact information
Practice address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
(319) 294-0095
Mailing address
4205 GLASS RD NE, CEDAR RAPIDS, IA 52402-2514
(319) 294-0094
(319) 294-0095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6916
IA
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
27216
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
IA
363L00000X
Nurse Practitioner
110073
IA
Other
Enumeration date
02/12/2007
Last updated
02/02/2016
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