Individual
MR. STEPHEN M JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1410 N 4TH ST, CLINTON, IA 52732-2940
(563) 244-5555
Mailing address
3400 DEXTER CT, DAVENPORT, IA 52807-3461
(563) 344-6667
(563) 344-6740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D-108642
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292268
—
IA
05
—
44321200
—
WI
Enumeration date
04/05/2006
Last updated
01/02/2009
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