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Evan Ruterbories Dc PC

Clinic/Center in Sioux City, IA. Organization (NPI-2).

NPI number1982196952
StatusActive
Last updated in NPPESJun 5, 2018

Details

NPI
1982196952
Entity type
Organization (NPI-2)
Legal business name
Evan Ruterbories Dc PC
Organization subpart
No
Enumeration date
Jun 5, 2018
Last updated
Jun 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

4281 Sergeant Rd
Sioux City, IA 51106-4625

Phone 712-221-2666

Mailing address

4281 Sergeant Rd
Sioux City, IA 51106-4625

Phone 712-221-2666

Authorized official

Evan Ruterbories
Sole Proprietor
7122212666

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