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Organization

DIETRICH CHIROPRACTIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. L ANTHONY DIETRICH D.C. (PRESIDENT)
(563) 386-4798
Entity
Organization

Contact information

Practice address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903
Mailing address
1605 W KIMBERLY RD, DAVENPORT, IA 52806-5532
(563) 386-4798
(563) 386-0903

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0488312
IA
Enumeration date
01/30/2007
Last updated
12/04/2023
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