NPI 1144921206

Jordan Grosdidier

Practitioner Physician Assistant Orange City, IA

Practice location

Address: 101 7th St SW, Orange City, IA 51041-1923
Phone: (712) 707-7000
Mailing address: PO Box 9, Alton, IA 51003-0009

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1144921206
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2023
Record last updated: 15 Mar 2023

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.