Organization
PELLA FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PUNKE D.C. (PRESIDENT)
(641) 628-7240
Entity
Organization
Contact information
Practice address
703 MAIN ST, PELLA, IA 50219-1620
(641) 628-7240
(641) 613-3244
Mailing address
703 MAIN ST, PELLA, IA 50219-1620
(641) 628-7240
(641) 613-3244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06257
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205294
—
IA
01
—
15740
WELLMARK BCBS
IA
Enumeration date
08/28/2008
Last updated
08/28/2008
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