Provider Demographics
NPI:1407237076
Name:KNOWLES, JARED ARTHUR (PA-C)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:ARTHUR
Last Name:KNOWLES
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:252 15TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5926
Mailing Address - Country:US
Mailing Address - Phone:641-494-5400
Mailing Address - Fax:641-494-5403
Practice Address - Street 1:250 S CRESCENT DR
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2926
Practice Address - Country:US
Practice Address - Phone:641-494-5210
Practice Address - Fax:641-494-5214
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2018-01-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical