Organization
ELITE SPINAL REHAB, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT OLLIN RICHMOND D.C (PRESIDENT)
(515) 278-5940
Entity
Organization
Contact information
Practice address
2753 86TH ST, URBANDALE, IA 50322-4336
(515) 278-5940
(515) 278-1517
Mailing address
2753 86TH ST, URBANDALE, IA 50322-4336
(515) 278-5940
(515) 278-1517
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06832
IA
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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