Individual
BRIAN MICHAEL JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 327-2606
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6037
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
115828
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2021
Last updated
03/06/2025
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