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Individual

MR. JON JAMES CLINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-5386
(319) 235-3074
Mailing address
4150 KIMBALL AVE, PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D111180
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942272505
WELLMARK
IA
05
1942272505
IA
01
421417307RV
UHC/RIVER VALLEY/ JD
IA
Enumeration date
02/07/2006
Last updated
02/07/2022
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