Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 28710 | IA |
NPI | 1013905421 |
---|---|
Provider Name | Jeffrey A. Drawbond |
First Address | Ames, IA 50010-5793 |
Second Address | Ames, IA 50010-5793 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 30/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0083949 | (05) | IA |
F30960 | (02) | IA |