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Individual

JENNIFER R STANDIFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
411 LAUREL ST, SUITE A250, DES MOINES, IA 50314-3017
(515) 235-5000
(515) 288-6713
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 235-5000
(515) 288-6713

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
001756
IA

Other

Enumeration date
11/01/2006
Last updated
02/15/2017
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