Individual
MR. JASON EDWARD MEYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4005 WESTMARK DR, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Mailing address
4005 WESTMARK DR, DUBUQUE, IA 52002-2271
(563) 588-3891
(563) 588-3893
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02877
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128702
—
IA
01
—
37591
BLUE SHIELD PROV. NUMBER
IA
Enumeration date
06/05/2006
Last updated
07/09/2007
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