207XX0005X
Clive, IA
Specialty
207XX0005X
Credential
MD
NPI
1790749448
12499 University Ave, Clive, IA 50325
(515) 974-5050Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 207xx0005x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 207XX0005X