Individual
DR. JASON J DEUTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 UTICA RIDGE RD, SUITE 1124, BETTENDORF, IA 52722-1656
(563) 742-5300
(563) 742-5305
Mailing address
4480 UTICA RIDGE ROAD, SUITE 1124, BETTENDORF, IA 52722-1626
(563) 742-5300
(563) 742-5305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036104564
IL
208600000X
Surgery Physician
Primary
34035
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104564
—
IA
05
—
1104899095
—
IA
05
—
1240812
—
IA
01
—
38078
BCWELLMARK
—
01
—
IA01X2
JOHN DEERE
—
01
—
P01205760
RR MEDICARE
IA
Enumeration date
02/10/2006
Last updated
02/05/2015
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