Individual
JASON MATTHEW COGDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 EIGHTH STREET NE, CEDAR RAPIDS, IA 52401-1097
(319) 363-3565
(319) 363-4001
Mailing address
115 EIGHTH STREET NE, CEDAR RAPIDS, IA 52401-1097
(319) 363-3565
(319) 363-4001
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
40495
IA
207RN0300X
Nephrology Physician
40495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40495
IOWA LICENSE NUMBER
IA
01
—
99979
OHIO LICENSE NUMBER
OH
Enumeration date
07/15/2006
Last updated
09/12/2013
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