Individual
DR. JOHN DAVID STADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2400 18TH ST, SUITE 101, BETTENDORF, IA 52722-3280
(563) 355-2020
Mailing address
3731 ELDORADO DR, BETTENDORF, IA 52722-2601
(563) 355-2020
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
06575
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34148
BLUE CROSS BLUE SHIELD
IA
Enumeration date
07/18/2006
Last updated
07/08/2007
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