Whalio Doctors

NPI 1003845280

Jeremy a Vitamvas, PA

Practitioner Physician Assistant Sioux City, IA

Practice location

Address
5885 Sunnybrook Dr, Sioux City, IA 51106-4203
Phone
(712) 266-2760
Fax
(712) 266-2719

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 001489 (IA)

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.