Individual
DR. JON LOWELL FAGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 N SWING, AMES, IA 50014-9472
(515) 291-4353
Mailing address
5601 N SWING, AMES, IA 50014-9472
(515) 291-4353
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25021
IA
Other
Enumeration date
10/12/2005
Last updated
10/20/2009
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