Healthy Aging And Memory Clinic

NPI 1417044645 - Family Medicine - 207QG0300X

NPI Details
NPI 1417044645
Enumeration Date 10/09/2006
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT L ROBERT
Position MEDICAL DIRECTOR
Phone (515) 224-4100
Fax (515) 224-4926
Practice Location
1300 50TH STREET
SUITE 104
WEST DES MOINES IA, 50266, US
Phone (515) 224-4100
Fax (515) 224-4926
Business Location
2555 106TH STREET
URBANDALE IA, 50322-3766, US
Phone (515) 334-7524
Fax (515) 334-7528
Toxanomy
Taxonomy Code 207QG0300X
License State
License Number
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According to our database, Healthy Aging And Memory Clinic NPI is 1417044645, taxonomy code is 207QG0300X Healthy Aging And Memory Clinic physically located at 1300 50th Street, West Des Moines IA, 50266. NPI Number 1033115704 has the healthcare provider type.

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1417044645 NPI number is provided on an as is basis without warranty of any kind. 1417044645 is maintained by the National Plan & Provider Enumeration System. The contents of Healthy Aging And Memory Clinic are for informational purposes only.