Individual
PEGGY JO BOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
402 - 4TH STREET, WEST POINT, IA 52656
(319) 837-8181
(319) 372-8688
Mailing address
3 SHARMAN PLACE, FORT MADISON, IA 52627
(319) 837-8181
(319) 372-8688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06588
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455261
—
IA
01
—
38637
BCBS
—
Enumeration date
07/14/2005
Last updated
01/15/2013
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