Individual
DR. SCOTT A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
935 BROAD ST, GRINNELL, IA 50112-2047
(641) 236-7502
Mailing address
PO BOX 687, GRINNELL, IA 50112-0687
(641) 236-7502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1658
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148338
—
IA
Enumeration date
07/19/2005
Last updated
09/06/2007
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