Individual
DR. MARK ALAN MOUW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
20 POWER DR, SUITE 1, COUNCIL BLUFFS, IA 51501-7734
(712) 366-1611
(712) 366-0722
Mailing address
20 POWER DR, SUITE 1, COUNCIL BLUFFS, IA 51501-7734
(712) 366-1611
(712) 366-0722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06534
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025239400
—
NE
05
—
1270090
—
IA
Enumeration date
01/11/2006
Last updated
07/08/2007
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