Individual
DR. DENNIS MICHAEL O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3644 UNIVERSITY AVE, WATERLOO, IA 50701-5622
(319) 233-3600
(319) 233-3980
Mailing address
3644 UNIVERSITY AVE, WATERLOO, IA 50701-5622
(319) 233-3600
(319) 233-3980
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05106
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0235168
—
IA
01
—
235168
BCBS
IA
Enumeration date
09/20/2006
Last updated
01/15/2008
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