Individual
MR. JOHN ALLEN ERVIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6360
(319) 353-7006
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6360
(319) 353-7006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001392
IA
363AM0700X
Medical Physician Assistant
Primary
001392
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27884
WELLMARK BCBS
IA
Enumeration date
10/02/2006
Last updated
12/08/2021
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