Individual
DR. DAVID M BLONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
927 BRADEN AVE, CHARITON, IA 50049-1782
(641) 774-5611
(641) 774-5091
Mailing address
927 BRADEN AVE, PO BOX 196, CHARITON, IA 50049-1782
(641) 774-5611
(641) 774-5091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05199
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270082
—
IA
01
—
27008
BLUE CROSS
—
Enumeration date
07/18/2005
Last updated
10/09/2007
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