Organization
PROFORM CHIROPRACTIC & SPORTS PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LLOYD DEAN IV DC (OWNER)
(716) 310-6290
Entity
Organization
Contact information
Practice address
2395 TECH DR STE 3, BETTENDORF, IA 52722-3277
(563) 265-5056
Mailing address
2395 TECH DR STE 3, BETTENDORF, IA 52722-3277
(563) 265-5056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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