| Dr. Hawkins Office | |
|
1701 22nd St Suite 107 West Des Moines IA 50266-1443 | |
| (515) 224-1001 | |
| (515) 224-1004 |
| Full Name | Dr. Hawkins Office |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 22nd St, West Des Moines, Iowa |
| Authorized Official Name and Position | Majed Waleed Barazanji (OWNER/PRACTITIONER) |
| Authorized Official Contact | 5154406622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Hawkins Office 1701 22nd St Suite 107 West Des Moines IA 50266-1443 Ph: (515) 224-1001 | Dr. Hawkins Office 1701 22nd St Suite 107 West Des Moines IA 50266-1443 Ph: (515) 224-1001 |
| NPI Number | 1629021118 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629021118 | NPI | - | NPPES |
| 0281865 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22705 (Iowa) | Primary |
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