Organization
EDEN CHIROPRACTIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY D EDEN D.C. (PRESIDENT)
(563) 659-9039
Entity
Organization
Contact information
Practice address
1419A 11TH ST, DE WITT, IA 52742-1247
(563) 659-9039
Mailing address
1419A 11TH ST, DE WITT, IA 52742-1247
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06586
IA
111N00000X
Chiropractor
Primary
A06106
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0243485
—
IA
05
—
1287870
—
IA
Enumeration date
02/07/2007
Last updated
08/22/2020
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