MEDICARE: DR. BRYCE ALAN HUNTER 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	A05245	IA

General Provider Information

NPI Number	:	1932101425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYCE ALAN HUNTER DC

Provider Business Mailing Address
First Line	:	207 S 2ND AVE E
Second Line	:
City	:	NEWTON
State	:	IA
Zip	:	50208-3734
Country	:	US
Telephone Number	:	641-792-6350
Fax Number	:

Provider Business Practice Location Address
First Line	:	3364 LINCOLN ST
Second Line	:
City	:	NEWTON
State	:	IA
Zip	:	50208-8314
Country	:	US
Telephone Number	:	641-791-2224
Fax Number	:	641-791-9749

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	09/04/2012

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