Individual
JASON C TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
(319) 396-1983
(319) 739-4372
Mailing address
2375 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-4736
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
120298
IA
Other
Enumeration date
01/04/2023
Last updated
09/10/2024
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