Provider Demographics
NPI:1205018140
Name:CLEMENT, ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:CLEMENT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 S 50TH ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-6979
Mailing Address - Country:US
Mailing Address - Phone:515-224-9000
Mailing Address - Fax:515-224-4435
Practice Address - Street 1:475 S 50TH ST
Practice Address - Street 2:SUITE 700
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-6979
Practice Address - Country:US
Practice Address - Phone:515-224-9000
Practice Address - Fax:515-224-4435
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007037111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor