Robert  W  Drew    DC
Contract Details
Facility name
Provider ID
P000005430
NPI
1821090465
Tax ID
421522421
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
408 Campus Dr Suite B
Huxley, IA 50124
United States
County
Story
Phone
5155973726 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address