Individual
JORDAN VIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2507 UNIVERSITY AVE, DES MOINES, IA 50311-4505
(515) 271-2011
Mailing address
453 52ND CT., WEST DES MOINES, IA 50265
(515) 783-8355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
092020
IA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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