Organization
FORT DODGE CHIROPRACTIC CENTER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA PATRICE BLANCHARD D.C. (OWNER)
(515) 576-3322
Entity
Organization
Contact information
Practice address
1214 CENTRAL AVE, FORT DODGE, IA 50501-4246
(515) 576-3322
(515) 576-2133
Mailing address
1214 CENTRAL AVE, FORT DODGE, IA 50501-4246
(515) 576-3322
(515) 576-2133
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007025
IA
Other
Enumeration date
11/30/2007
Last updated
01/15/2008
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