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NPI Code Detail

MEDICARE: OPTIMUM CHIROPRACTIC PC

MEDICARE: OPTIMUM CHIROPRACTIC PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1578137972
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMUM CHIROPRACTIC PC
Provider Business Mailing Address
First Line : 1270 OFFICE PLAZA DR
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-2300
Country : US
Telephone Number : 515-225-9200
Fax Number : 515-225-0123
Provider Business Practice Location Address
First Line : 1270 OFFICE PLAZA DR
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-2300
Country : US
Telephone Number : 515-225-9200
Fax Number : 515-225-0123
Authorized Official
Title or Position : CEO
Name : DR. BRETT VOWLES
Credential : DC
Telephone Number : 515-225-9200
Provider Enumeration Date : 05/19/2021
Last Update Date : 05/19/2021

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Directions to “OPTIMUM CHIROPRACTIC PC ” Practice Location

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