Individual
EASTON JAY POPMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 RAILROAD AVE, ALBANY, MN 56307-9379
(320) 226-5436
Mailing address
346 HICKORY ST, DAWSON, MN 56232-2423
(320) 226-5436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13829
MN
Other
Enumeration date
02/06/2020
Last updated
09/11/2021
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