Individual provider · Type 1 NPI

Jacob (jake) William Condren, PA-C

Physician Assistant · Bolivar, MO

NPI number 1265971865 Active

Practice location

1155 W Parkview St, Suite 2D
Bolivar, MO 65613-8279

Call (417) 777-2663 Map

Fax (417) 777-2666

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1265971865

Jacob (jake) William Condren, PA-C's National Provider Identifier is 1265971865, issued on Feb 15, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bolivar, MO. The record was last updated on Feb 15, 2017.