NPI 1003019795

Angela Tiana Ballew, DC

Practitioner Chiropractor Davenport, IA

Practice location

Address: 2711 W 63rd St Suite 4, Davenport, IA 52803
Phone: (563) 359-1455
Fax: (563) 359-1498

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 006980 (IA)

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Registry record

NPI: 1003019795
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2007
Record last updated: 8 Jul 2007

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.