Individual
JORDAN LEE REINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Mailing address
12499 UNIVERSITY AVE STE 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
087835
IA
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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