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Organization

ADVANCED SPINE & EXTREMITY CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON ROSE D.C. (DOCTOR)
(319) 277-9755
Entity
Organization

Contact information

Practice address
6015 UNIVERSITY AVE, CEDAR FALLS, IA 50613-5598
(319) 277-9755
Mailing address
6015 UNIVERSITY AVE, CEDAR FALLS, IA 50613-5598
(319) 277-9755

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06742
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0454702
IA
Enumeration date
04/17/2007
Last updated
03/05/2008
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