Individual
JACKLYN B AUXTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6582 165TH ST, ALBIA, IA 52531-8793
(641) 932-7172
(641) 932-7174
Mailing address
6582 165TH ST, PO BOX 127, ALBIA, IA 52531-8793
(641) 932-7172
(641) 932-7174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3142
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0172908
—
IA
Enumeration date
02/17/2006
Last updated
07/09/2007
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