IndividualActive
Jordan Reiner, PA
NPI 1710406590 · Surgical Physician Assistant · Clive, IA
Provider details
- NPI number
- 1710406590
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 087835 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12499 University Ave Ste 210
Clive, IA 50325-8288
Phone: (515) 440-2676
Fax: (515) 440-2677
Approximate (ZIP-level) locationGet directions
Mailing address
12499 University Ave Ste 210
Clive, IA 50325-8288
Registry dates
- Enumerated
- 2017-09-13
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.