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Individual

DR. SHAYAN SHEYBANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5810
Mailing address
1000 BRADY ST, DAVENPORT, IA 52803-5214
(563) 884-5810

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A5732
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42065
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/02/2005
Last updated
03/11/2015
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