Organization
CCPM&R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONWAY CHIN DO (PHYSICIAN OWNER)
(563) 285-1380
Entity
Organization
Contact information
Practice address
4505 UTICA RIDGE RD, BETTENDORF, IA 52722-1641
(563) 285-1380
(563) 285-1386
Mailing address
PO BOX 255, ELDRIDGE, IA 52748-0255
(563) 285-1380
(563) 285-1386
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
05/18/2021
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