Individual
DR. MARK ANTHONY NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
(563) 886-2380
Mailing address
200 E 5TH ST, TIPTON, IA 52772-1851
(563) 886-6900
(563) 886-2380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4975
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207357
—
IA
Enumeration date
10/24/2005
Last updated
05/10/2012
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