Fishomen P.c.

NPI 1700053006 - Dentist - 1223G0001X

NPI Details
NPI 1700053006
Enumeration Date 05/15/2008
Last Updated 05/15/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PHELAN RICO PHELAN
Position PRESIDENT
Phone (515) 223-8800
Fax (515) 223-1437
Practice Location
4100 UNIVERSITY AVE
#105
WEST DES MOINES IA, 50266-5956, US
Phone (515) 223-8800
Fax (515) 223-1437
Business Location
4100 UNIVERSITY AVE
#105
WEST DES MOINES IA, 50266-5956, US
Phone (515) 223-8800
Fax (515) 223-1437
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number 07198
Remove 1700053006 NPI Number
 

According to our database, Fishomen P.c. NPI is 1700053006, taxonomy code is 1223G0001X and license number is 07198, license state is located at Iowa. Fishomen P.c. physically located at 4100 University Ave, West Des Moines IA, 50266-5956. NPI Number 1033115704 has the healthcare provider type.

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1700053006 NPI number is provided on an as is basis without warranty of any kind. 1700053006 is maintained by the National Plan & Provider Enumeration System. The contents of Fishomen P.c. are for informational purposes only.