MEDICARE: DR. BRADLEY ANDREW ALDERTON 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	06635	IA

General Provider Information

NPI Number	:	1952302820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRADLEY ANDREW ALDERTON DC

Provider Business Mailing Address
First Line	:	2616 210TH ST
Second Line	:
City	:	WASHINGTON
State	:	IA
Zip	:	52353-9226
Country	:	US
Telephone Number	:	319-653-7200
Fax Number	:	319-653-7200

Provider Business Practice Location Address
First Line	:	2616 210TH ST
Second Line	:
City	:	WASHINGTON
State	:	IA
Zip	:	52353-9226
Country	:	US
Telephone Number	:	319-653-7200
Fax Number	:	319-653-7200

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	10/26/2009

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Directions to “ DR. BRADLEY ANDREW ALDERTON DC” Practice Location

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