Individual
DANIEL E BONTRAGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4439 JACKSON ST, MARIANNA, FL 32448
(850) 526-4830
(850) 482-2757
Mailing address
4439 JACKSON ST, MARIANNA, FL 32448
(850) 526-4830
(850) 482-2757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0004409
FL
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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