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Individual

DR. RENEE LYNN MONTAG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
806 7TH ST, BOONE, IA 50036
(515) 432-6524
Mailing address
806 7TH ST, BOONE, IA 50036
(515) 432-6524

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04779
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18595
BLUE CROSS BLUE SHIELD
IA
Enumeration date
02/14/2006
Last updated
07/08/2007
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