Fairfax Chiropractic Center Pllc

NPI 1740517978 - Chiropractor - 111N00000X

NPI Details
NPI 1740517978
Enumeration Date 11/09/2009
Last Updated 11/09/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name TAVIS O TAVIS
Position MEMBER/MANAGER
Phone (319) 845-2300
Fax (319) 845-2302
Practice Location
324 80TH ST CT
FAIRFAX IA, 52228-9540, US
Phone (319) 845-2300
Fax (319) 845-2302
Business Location
324 80TH ST CT
FAIRFAX IA, 52228-9540, US
Phone (319) 845-2300
Fax (319) 845-2302
Toxanomy
Taxonomy Code 111N00000X
License State Iowa
License Number 7208
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According to our database, Fairfax Chiropractic Center Pllc NPI is 1740517978, taxonomy code is 111N00000X and license number is 7208, license state is located at Iowa. Fairfax Chiropractic Center Pllc physically located at 324 80th St Ct, Fairfax IA, 52228-9540. NPI Number 1033115704 has the healthcare provider type.

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1740517978 NPI number is provided on an as is basis without warranty of any kind. 1740517978 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Chiropractic Center Pllc are for informational purposes only.