Individual
JORY LEE STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349-2299
(319) 472-6200
Mailing address
2000 UNIVERSITY AVE, DUBUQUE, IA 52001-5099
(563) 589-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
01/20/2023
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