Organization
FOUNTAIN CHIROPRACTIC CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE JOSEPH SMITH D.C. (OWNER)
(563) 582-5185
Entity
Organization
Contact information
Practice address
2728 ASBURY RD., SUITE 920, DUBUQUE, IA 52001-2970
(563) 582-5185
(563) 582-3075
Mailing address
2728 ASBURY RD., SUITE 920, DUBUQUE, IA 52001-2970
(563) 582-5185
(563) 582-3075
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06478
IA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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