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Individual

DR. TROY EDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1419A 11TH ST, DE WITT, IA 52742-1247
(563) 659-9039
Mailing address
1419 11TH ST STE A, DE WITT, IA 52742-1294
(563) 659-9039
(563) 659-3183

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06106
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0243485
IA
01
45735
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/15/2006
Last updated
10/09/2013
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