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1871230201
JACOB RYAN ELAM
IOWA CITY, IA
NPI
1871230201
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Former Name
JACOB RYAN CHRESTENSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IA R-12464)
Enumeration Date
2022-05-17
Last Update Date
2022-05-17
Business Address
JACOB RYAN ELAM MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-3396
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Mailing Address
JACOB RYAN ELAM MD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number:
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