Individual
DR. CLIFTON DAVID BETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.S.
Contact information
Practice address
2303 E 53RD ST STE 3, DAVENPORT, IA 52807-2701
(563) 344-0707
(563) 344-6769
Mailing address
2303 E 53RD ST STE 3, DAVENPORT, IA 52807-2701
(563) 344-0707
(563) 344-6769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007048
IA
111N00000X
Chiropractor
038008347
IL
111N00000X
Chiropractor
CH10008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08122452
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
07/26/2005
Last updated
03/20/2019
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