Most Relevant Information
Provider Data
| NPI Number: | 1003830803 |
| Provider Name: | CONNIE J BUSS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 305 00346 |
Most Important Dates
| Enumeration Date: | 07/26/2006 |
| Last Updated: | 03/20/2013 |
Provider Practice Location
1015 UNION ST
BOONE
IA
500364821
Practice Location Phone/Fax
| Phone: | 5154338118 |
| Fax: | 5154338905 |
Provider Mailing Location
1015 UNION ST
BOONE
IA
500364821
Provider Mailing Phone/Fax
| Phone: | 5154338118 |
| Fax: | 5154338905 |