Individual
JODI L STOWATER-GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1288 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(712) 328-8800
(712) 328-8461
Mailing address
1288 VALLEY VIEW DR, COUNCIL BLUFFS, IA 51503-5245
(712) 328-8800
(712) 328-8461
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002206
IA
363AM0700X
Medical Physician Assistant
1430
NE
Other
Enumeration date
02/25/2009
Last updated
05/11/2023
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