Organization
BLUFFS FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY THOMAS DWORAK D.C. (OWNER)
(308) 440-2973
Entity
Organization
Contact information
Practice address
303 MCKENZIE AVE, COUNCIL BLUFFS, IA 51503-1017
(308) 440-2973
Mailing address
303 MCKENZIE AVE, COUNCIL BLUFFS, IA 51503-1017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007519
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025718500
—
NE
Enumeration date
03/20/2012
Last updated
03/20/2012
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