NPI 1083074819

Waukee Chiropractic Center PC

Organisation Chiropractor Clive, IA

Practice location

Address: 2180 NW 156th St Suite 102, Clive, IA 50325-7982
Phone: (515) 987-0299
Fax: (515) 989-7586
Mailing address: 9500 University Ave Suite 2106, West Des Moines, IA 50266-1745

Authorised official

Name: Trent Julian Fugere
Title: Chiropractor
Phone: (515) 987-0299

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence A05949 (IA)

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Registry record

NPI: 1083074819
Entity type: Organization
NPI issued: 7 Mar 2016
Record last updated: 5 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.