Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | A05982 | IA |
NPI | 1003882473 |
---|---|
Provider Name | Dr. David C Wurth |
First Address | Marcus, IA 51035-0526 |
Second Address | Marcus, IA 51035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 08/07/2007 |