Jason Daniel Thornburg, PA-C

NPI #1770838534 in Wilton, Iowa

Provider Information

NPI Number: 1770838534
Entity Type: Individual
Name: Jason Daniel Thornburg, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 18, 2012
Last Updated: Apr 17, 2014

Practice Location

Address: 400 OVESEN DR
City: Wilton
State: Iowa
ZIP Code: 52778-9612
Phone: (563) 732-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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