Advanced Spine And Rehab Center PC
Family Medicine in Cedar Rapids, IA. Organization (NPI-2).
NPI number1386785293
StatusActive
Last updated in NPPESFeb 2, 2016
Details
- NPI
- 1386785293
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Spine And Rehab Center PC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Feb 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 111N00000X | Chiropractor | 6916 | IA | |
| 363L00000X | Nurse Practitioner | 110073 | IA | |
| 207R00000X | Internal Medicine | 27216 | IA | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | IA |
Practice location
4205 Glass Rd NeCedar Rapids, IA 52402-2514
Phone 319-294-0094 · Fax 319-294-0095
Mailing address
4205 Glass Rd NeCedar Rapids, IA 52402-2514
Phone 319-294-0094 · Fax 319-294-0095
Authorized official
Jeffrey Alan Mitchell
President
3199812292
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