Organization
MACY CHIROPRACTOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER MACY (OWNER)
(641) 682-4556
Entity
Organization
Contact information
Practice address
1317 N COURT ST, OTTUMWA, IA 52501-1911
(641) 682-4556
Mailing address
1317 N COURT ST, OTTUMWA, IA 52501-1911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04750
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07135
—
IA
Enumeration date
05/05/2010
Last updated
05/05/2010
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