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Jacob Staudt
Student in an Organized Health Care Education/Training Program in Davenport, Iowa
NPI 1801586250

Jacob Staudt is a Student in an Organized Health Care Education/Training Program based in Davenport, IA. Jacob Staudt practices in Davenport, IA. The NPI Number for Jacob Staudt is 1801586250 and holds a License No. (Iowa).

The current practice location address for Jacob Staudt is 1345 W Central Park Ave, Davenport, IA and can be reached out via phone at 563-421-4400. You can also correspond with Jacob Staudt through the mailing address at 1345 W CENTRAL PARK AVE, DAVENPORT, IA - 52804-1844 (mailing address contact number: 563-421-4400).

Location: 1345 W Central Park Ave, Davenport, IA, 52804-1844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801586250
Provider Name
Jacob Staudt
Credential
Provider Entity Type
Individual
Gender
Male
Address
1345 W Central Park Ave, Davenport, IA, 52804-1844
Phone Number
563-421-4400
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1345 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1844
Phone Number
563-421-4400
Fax Number
person
Provider Business Mailing Address Details
Address
1345 W Central Park Ave
City
Davenport
State
Iowa
Zip
52804-1844
Phone Number
563-421-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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