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NPI Code Detail

MEDICARE: JAN MARGARET SYATA PAC

MEDICARE: JAN MARGARET SYATA PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2363AS0400XSurgical Physician Assistant01153IA

General Provider Information

NPI Number : 1437157930
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAN MARGARET SYATA PAC
Provider Business Mailing Address
First Line : 1026 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7225
Fax Number : 319-369-8950
Provider Business Practice Location Address
First Line : 1026 A AVE NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7225
Fax Number : 319-369-8950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 08/28/2024

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Directions to “ JAN MARGARET SYATA PAC” Practice Location

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