Organization
DYNAMIC CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYATT WESLEY TYLER D.C. (OWNER/DOCTOR)
(515) 278-2225
Entity
Organization
Contact information
Practice address
8515 DOUGLAS AVE, STE. 25, URBANDALE, IA 50322-2915
(515) 278-2225
Mailing address
8515 DOUGLAS AVE, STE. 25, URBANDALE, IA 50322-2915
(515) 278-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007702
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427347830
—
IA
Enumeration date
10/11/2016
Last updated
10/11/2016
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