Basic Information
| Provider Information | |||||||||
| NPI: | 1699939538 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARMBRUSTER | ||||||||
| FirstName: | JAMIE | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3135 W BROADWAY | ||||||||
| Address2: | |||||||||
| City: | COUNCIL BLUFFS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 515013359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7123289100 | ||||||||
| FaxNumber: | 7123280095 | ||||||||
| Practice Location | |||||||||
| Address1: | 3135 W BROADWAY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | COUNCIL BLUFFS | ||||||||
| State: | IA | ||||||||
| PostalCode: | 515013359 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7123289100 | ||||||||
| FaxNumber: | 7123280095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2008 | ||||||||
| LastUpdateDate: | 06/30/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 39598 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.