John David Stader in Bettendorf - Sports Physician
John David Stader - NPI 1679592133
John David Stader is a Sports Physician in Bettendorf, Iowa. John David Stader practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for John David Stader is 1679592133. The last update date is 2007-07-08.
John David Stader's current location address is 3731 Eldorado Dr, Bettendorf, Iowa. You can contact this provider via phone number 5633552020. The mailing address for John David Stader is 3731 Eldorado Dr, Bettendorf, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Stader |
|---|---|
| Address | 3731 Eldorado Dr, Bettendorf, Iowa |
| Phone Number | 5633552020 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1679592133 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3731 Eldorado Dr |
|---|---|
| City | Bettendorf |
| State | Iowa (IA) |
| Post Code | 527222601 |
| Phone Number | 5633552020 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 6575 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34148 | IA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to John David Stader by the Centers for Medicare & Medicaid Services?
The John David Stader has been issued the NPI (National Provider Identifier) 1679592133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John David Stader is physically located?
The John David Stader is situated at the following address: 3731 Eldorado Dr, Bettendorf, IA 527222601.
What is John David Stader's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John David Stader is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679592133 to John David Stader?
The Centers for Medicare & Medicaid Services originally issued the 1679592133 to John David Stader on 2006-07-18.
As of what date were the details pertaining to John David Stader last refreshed?
The information related to the John David Stader, including its address, specialty, and other relevant details, was last updated on 2007-07-08.