Individual
MIRANDA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
215 NW 18TH ST STE 101, ANKENY, IA 50023-4282
(515) 964-1090
Mailing address
215 NW 18TH ST STE 101, ANKENY, IA 50023-4282
(515) 964-1090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
090511
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815290526
TAX ID
IA
Enumeration date
03/07/2018
Last updated
03/07/2018
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