Individual
DR. JEFFREY MICHAEL NASSIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1545
(319) 399-2039
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
32318
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167577
—
IA
01
—
44214
BLUE CROSS/BLUE SHIELD
IN
Enumeration date
07/08/2005
Last updated
10/21/2020
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