Evizzit Of Iowa Psychiatry Pc | |
1501 42nd St Ste 120 West Des Moines IA 50266-1005 | |
(855) 270-3625 | |
Not Available |
Full Name | Evizzit Of Iowa Psychiatry Pc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1501 42nd St Ste 120, West Des Moines, Iowa |
Authorized Official Name and Position | Doug Wilson (ASSISTANT VICE PRESIDENT) |
Authorized Official Contact | 5159795460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evizzit Of Iowa Psychiatry Pc 1501 42nd St Ste 120 West Des Moines IA 50266-1005 Ph: (855) 270-3625 | Evizzit Of Iowa Psychiatry Pc 1501 42nd St Ste 120 West Des Moines IA 50266-1005 Ph: (855) 270-3625 |
NPI Number | 1679233183 |
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Provider Enumeration Date | 12/23/2021 |
Last Update Date | 12/23/2021 |
Certification Date | 12/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679233183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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