Individual
DR. JORDAN MICHAEL DEGRAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
610 EASTBURY DR., SUITE 3, IOWA CITY, IA 52245
(319) 887-6992
(319) 887-6983
Mailing address
610 EASTBURY DRIVE, SUITE 3, IOWA CITY, IA 52245
(319) 887-6992
(319) 887-6983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06528
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265678
—
IA
01
—
50709
BLUE CROSS & BLUE SHIELD
IA
Enumeration date
01/14/2006
Last updated
07/08/2007
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