JEREMY A VITAMVAS

SIOUX CITY, IA
NPI1003845280
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  001489)
Enumeration Date2006-07-01
Last Update Date2015-08-10
Business Address
-- JEREMY A VITAMVAS PA
5885 SUNNYBROOK DR
SIOUX CITY, IA 51106-4203
Phone number: 712-266-2760
Mailing Address
-- JEREMY A VITAMVAS PA
5885 SUNNYBROOK DR
SIOUX CITY, IA 51106-4203
Phone number: 712-266-2760
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