Provider Demographics
NPI:1184917981
Name:JAGER, LINDA MALIZIA (MD)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MALIZIA
Last Name:JAGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2515 EDGEWILD DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-1549
Mailing Address - Country:US
Mailing Address - Phone:563-271-2428
Mailing Address - Fax:855-425-9198
Practice Address - Street 1:3425 E LOCUST ST STE 101
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-3573
Practice Address - Country:US
Practice Address - Phone:563-271-2428
Practice Address - Fax:855-425-9198
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2024-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA28326207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine