Individual
DR. MITCHELL ROBERT MALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3400 DEXTER CT STE 105, DAVENPORT, IA 52807
(563) 823-5555
(563) 823-5556
Mailing address
3400 DEXTER CT STE 105, DAVENPORT, IA 52807-3462
(563) 823-5555
(563) 823-5556
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04853
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1192278
—
IA
Enumeration date
08/04/2005
Last updated
07/23/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us