Individual
MR. JEREMY RICHARD DOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
812 UNIVERSITY ST., PELLA, IA 50219
(319) 930-0493
Mailing address
1251 SANTA FE DR., IOWA CITY, IA 52246
(319) 930-0493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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