Organization
PRAIRIE LIFE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK LEE KOSTERS D.C. (PRESIDENT)
(712) 717-5101
Entity
Organization
Contact information
Practice address
715 S MAIN AVE, SIOUX CENTER, IA 51250-1349
(712) 717-5101
(712) 717-5102
Mailing address
715 S MAIN AVE, SIOUX CENTER, IA 51250-1349
(712) 717-5101
(712) 717-5102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007606
IA
Other
Enumeration date
12/06/2012
Last updated
11/04/2021
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