Organization
SPORT & SPINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN ROBERT WEBER DC MS (DOCTOR/OWNER)
(319) 491-4242
Entity
Organization
Contact information
Practice address
102 A AVE, HIAWATHA, IA 52233-1504
(319) 892-3363
(319) 892-3034
Mailing address
3109 LEONARD TER NE, CEDAR RAPIDS, IA 52402-4148
(319) 491-4242
(319) 892-3034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007394
IA
Other
Enumeration date
04/15/2015
Last updated
06/19/2015
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