Individual
DR. RAPHAEL MARTIN MONTAG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
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
04778
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18594
BLUE CROSS BLUE SHIELD
IA
Enumeration date
02/14/2006
Last updated
07/08/2007
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