Individual
DR. JASON J VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
102 W 2ND AVE, INDIANOLA, IA 50125-2522
(515) 962-2166
(515) 962-2177
Mailing address
102 W 2ND AVE, INDIANOLA, IA 50125-2522
(515) 962-2166
(515) 962-2177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06336
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212464
—
IA
Enumeration date
02/14/2006
Last updated
07/08/2007
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