Organization
WAYSON FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE J. WAYSON D.C. (OWNER)
(319) 266-1119
Entity
Organization
Contact information
Practice address
4619 CHADWICK RD, CEDAR FALLS, IA 50613-8060
(319) 266-1119
Mailing address
4619 CHADWICK RD, CEDAR FALLS, IA 50613-8060
(319) 266-1119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06835
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0480830
—
IA
01
—
07291
BCBS
IA
Enumeration date
01/17/2008
Last updated
03/17/2017
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