Individual
JAMES BLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 OVESON DR, WILTON, IA 52778-9612
(563) 732-2121
Mailing address
400 OVESEN DR, WILTON, IA 52778-9612
(563) 732-2121
(563) 732-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
761
IA
Other
Enumeration date
12/28/2005
Last updated
04/23/2013
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