Individual
JACOB DANIEL BOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2500
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002319
IA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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