NPI 1003845280
Jeremy a Vitamvas, PA
Practice location
- Address
- 5885 Sunnybrook Dr, Sioux City, IA 51106-4203
- Phone
- (712) 266-2760
- Fax
- (712) 266-2719
Registered specialties
Physician Assistant
Primary
Registry record
- NPI
- 1003845280
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2006
- Record last updated
- 10 Aug 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.