Individual
JILL K BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(402) 412-7242
(712) 252-5920
Mailing address
1021 NEBRASKA ST, SIOUX CITY, IA 51105-1436
(712) 252-2477
(712) 252-5920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
081121
IA
363A00000X
Physician Assistant
Primary
1959
NE
Other
Enumeration date
01/14/2013
Last updated
06/14/2021
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