MEDICARE: CLIFFORD J MEYLOR 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	4658	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134108616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLIFFORD J MEYLOR DC

Provider Business Mailing Address
First Line	:	MEYLOR CHIRO OFFICE
Second Line	:	2608 HAMILTON BLVD
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-4048
Country	:	US
Telephone Number	:	712-255-5511
Fax Number	:	712-277-1336

Provider Business Practice Location Address
First Line	:	MEYLOR CHIRO OFFICE
Second Line	:	2608 HAMILTON BLVD
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-4048
Country	:	US
Telephone Number	:	712-255-5511
Fax Number	:	712-277-1336

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

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	04/18/2012

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Directions to “ CLIFFORD J MEYLOR DC” Practice Location

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