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Individual

DR. DOUGLAS P DVORAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1427 6TH ST NW, CEDAR RAPIDS, IA 52405
(319) 365-5476
Mailing address
1427 6TH ST NW, CEDAR RAPIDS, IA 52405
(319) 365-5476

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05380
IA
111N00000X
Chiropractor
CH7335
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1263921
IA
Enumeration date
12/11/2006
Last updated
07/08/2007
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