Jeff P Jolly, PA
NPI #1841297744 in Longview, Washington
Provider Information
- NPI Number
- 1841297744
- Entity Type
- Individual
- Name
- Jeff P Jolly, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2310
- Phone
- (360) 414-2360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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