Individual provider · NPI-1
Jared J Abbott, M.D.
Pathology, Anatomic Pathology · Urbandale, IA
NPI number1073598512
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1073598512
- Entity type
- Individual (NPI-1)
- Name
- Jared J Abbott
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2005
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0101X | Pathology, Anatomic Pathology | MD-37037 | IA | Yes |
| 207ZD0900X | Pathology, Dermatopathology | MD-37037 | IA |
Practice location
4637 121st StUrbandale, IA 50323-2311
Phone 515-655-7080 · Fax 515-655-7090
Mailing address
4637 121st StUrbandale, IA 50323-2311
Phone 515-655-7080 · Fax 515-655-7090
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