Individual
DR. JAY ANDREW HEAVERLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DACM
Contact information
Practice address
2687 100TH ST, URBANDALE, IA 50322-3808
(515) 554-6728
Mailing address
2687 100TH ST, URBANDALE, IA 50322-3808
(515) 554-6728
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
A49
IA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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