Individual
JANA L MARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6911 C AVE NE, CEDAR RAPIDS, IA 52402-1349
(319) 832-1463
(319) 832-1469
Mailing address
6911 C AVE NE, CEDAR RAPIDS, IA 52402-1349
(319) 832-1463
(319) 832-1469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30671
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080149543
RR MEDICARE
IA
05
—
1336127877
—
IA
05
—
3111591
—
IA
05
—
4111591
—
IA
05
—
5111591
—
IA
05
—
6111591
—
IA
05
—
7111591
—
IA
Enumeration date
01/05/2006
Last updated
05/17/2012
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