Individual
DR. STACY EDGAR SWIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1207 A AVE E, SUITE A, OSKALOOSA, IA 52577-4237
(641) 672-1399
Mailing address
1207 A AVE E, SUITE A, OSKALOOSA, IA 52577-4237
(641) 672-1399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06011
IA
Other
Enumeration date
04/17/2008
Last updated
06/17/2008
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