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Jerome
J
Zorfman
DC
Contract Details
Facility name
Provider ID
P000005627
NPI
1922090729
Tax ID
421130745
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
250 West 1st St Suite D
Grimes, IA 50111
United States
County
Polk
Phone
5159862233
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
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Address