Individual
JEREMY MACVARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 6TH AVE STE B1, DES MOINES, IA 50314-2610
(515) 358-0100
(515) 358-0109
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-0100
(515) 358-0109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
097834
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/11/2019
Last updated
09/18/2019
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