Individual
DR. ALLEN LEE DIERCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2322 E KIMBERLY RD, C 1, DAVENPORT, IA 52807-7205
(563) 388-9492
(563) 388-0019
Mailing address
311 MANOR DR, RIVERDALE, IA 52722-5727
(563) 355-5942
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4736
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0203828
—
IA
Enumeration date
02/23/2006
Last updated
08/21/2019
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