Individual
DR. JARED A TERRONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Mailing address
3740 UTICA RIDGE RD, SUITE B, BETTENDORF, IA 52722-1657
(563) 344-7400
(563) 359-9395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036127272
IL
207Q00000X
Family Medicine Physician
Primary
39583
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127272
STATE LICENSE
IL
01
—
39583
STATE LICENSE
IA
Enumeration date
12/02/2008
Last updated
07/14/2016
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