Individual
DUSTIN DAVID GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
204 N US HIGHWAY 69 # B, HUXLEY, IA 50124-9334
(515) 460-2256
Mailing address
3475 FENTON AVE, STRATFORD, IA 50249-7574
(515) 460-2256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007547
IA
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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