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Individual

DR. RONALD L PEERBOLTE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
404 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-1554
(712) 243-1573
Mailing address
404 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-1554
(712) 243-1573

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04075
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016212
IA
Enumeration date
01/10/2006
Last updated
07/08/2007
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