Individual
MEGAN KAZUYE IANNACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3701 KATZ DR, MARION, IA 52302-3871
(319) 373-3022
Mailing address
708 5TH ST APT 316, CORALVILLE, IA 52241-2352
(612) 718-4506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
088293
IA
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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