Organization
GERARD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN M GERARD D.C (DOCTOR OF CHIROPRACTIC)
(563) 223-9120
Entity
Organization
Contact information
Practice address
112 WEST DAVENPORT ST UNIT 1, ELDRIDGE, IA 52748
(563) 223-9120
Mailing address
112 WEST DAVENPORT ST UNIT 1, ELDRIDGE, IA 52748
(563) 223-9120
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
078973
IA
111NS0005X
Sports Physician Chiropractor
078973
IA
Other
Enumeration date
07/29/2015
Last updated
09/01/2015
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