Individual
ANGELA VERVOORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 JOHNSON ST SW, CASCADE, IA 52033-8636
(563) 852-7756
(563) 852-7759
Mailing address
805 JOHNSON ST SW, CASCADE, IA 52033-8636
(563) 852-7756
(563) 852-7759
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002350
IA
Other
Enumeration date
12/19/2012
Last updated
03/04/2019
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