Individual
MR. JONATHAN DARREL HARDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
403 1ST ST SE, BELMOND, IA 50421-1201
(515) 327-2000
(515) 327-2019
Mailing address
403 1ST ST SE, BELMOND, IA 50421-1201
(515) 327-2000
(515) 327-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001739
IA
Other
Enumeration date
09/12/2006
Last updated
08/06/2014
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