Individual
JASON POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(319) 626-5680
(319) 626-5687
Mailing address
3 LIONS DR, NORTH LIBERTY, IA 52317-9575
(319) 626-5680
(319) 626-5687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285437
—
IA
01
—
34574
WELLMARK BCBS
IA
01
—
P00028025
RR MEDICARE
IA
Enumeration date
10/06/2005
Last updated
09/17/2009
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