Central States Medicine, Pllc

NPI 1144646787 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1144646787
Enumeration Date 03/06/2014
Last Updated 07/30/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (515) 267-1819
Fax (515) 457-9180
Practice Location
1300 37TH ST
SUITE 3 & 4
WEST DES MOINES IA, 50266-1900, US
Phone (515) 267-1819
Fax (515) 457-9180
Business Location
1300 37TH ST
SUITE 3 & 4
WEST DES MOINES IA, 50266-1900, US
Phone (515) 267-1819
Fax (515) 457-9180
Toxanomy
Taxonomy Code 363L00000X
License State
License Number
Remove 1144646787 NPI Number
 

According to our database, Central States Medicine, Pllc NPI is 1144646787, taxonomy code is 363L00000X Central States Medicine, Pllc physically located at 1300 37th St, West Des Moines IA, 50266-1900. NPI Number 1033115704 has the healthcare provider type.

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1144646787 NPI number is provided on an as is basis without warranty of any kind. 1144646787 is maintained by the National Plan & Provider Enumeration System. The contents of Central States Medicine, Pllc are for informational purposes only.