Organization
COSGROVE CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL COSGROVE DC (OWNER)
(641) 684-2261
Entity
Organization
Contact information
Practice address
1429 ALBIA RD, OTTUMWA, IA 52501-3946
(641) 684-2261
(641) 684-2254
Mailing address
1429 ALBIA RD, OTTUMWA, IA 52501-3946
(641) 684-2261
(641) 684-2254
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289660
—
IA
Enumeration date
11/15/2007
Last updated
02/06/2013
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