Steven  S  Barnes    DC
Contract Details
Facility name
Provider ID
P000003623
NPI
1013124064
Tax ID
752999391
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
2901 North Broadway
Council Bluffs, IA 51503
United States
County
Pottawattamie
Phone
7123288410 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address