Organization
INNATE CHIROPRACTIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALTON DANIEL DOUDNA DC (CHIROPRACTOR)
(740) 260-1635
Entity
Organization
Contact information
Practice address
3536 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(740) 260-1635
Mailing address
3536 JERSEY RIDGE RD, DAVENPORT, IA 52807-2223
(740) 260-1635
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457826497
—
IA
Enumeration date
10/25/2018
Last updated
10/25/2018
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