Individual
DR. RANDY LYNN WILLOUGHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115A SOUTH MAIN STREET, BOX 471, MELCHER, IA 50163-0471
(641) 947-2068
(641) 947-2068
Mailing address
115A SOUTH MAIN ST., BOX 471, MELCHER, IA 50163-0471
(641) 947-2068
(641) 947-2068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5997
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147876
—
IA
Enumeration date
04/02/2007
Last updated
07/09/2007
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