MEDICARE: DR. ALEXANDER ANDERSON DC

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
1	111N00000X	Chiropractor	116759	IA

General Provider Information

NPI Number	:	1023735412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER ANDERSON DC

Provider Business Mailing Address
First Line	:	2411 CORAL CT STE 3
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2878
Country	:	US
Telephone Number	:	319-545-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 CORAL CT STE 3
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2878
Country	:	US
Telephone Number	:	319-545-4444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2022
Last Update Date	:	10/26/2022

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Directions to “ DR. ALEXANDER ANDERSON DC” Practice Location

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