| Jerrold V. Flatt D.o., P.c. | |
|
1301 Pennsylvania Ave Ste 316 Des Moines IA 50316-2366 | |
| (515) 262-0996 | |
| (515) 264-1009 |
| Full Name | Jerrold V. Flatt D.o., P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1301 Pennsylvania Ave Ste 316, Des Moines, Iowa |
| Authorized Official Name and Position | Jerrold Verlin Flatt (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5152620996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrold V. Flatt D.o., P.c. 1301 Penn Ave Ste 316 Des Moines IA 50316-2366 Ph: (515) 262-0996 | Jerrold V. Flatt D.o., P.c. 1301 Pennsylvania Ave Ste 316 Des Moines IA 50316-2366 Ph: (515) 262-0996 |
| NPI Number | 1396771622 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396771622 | NPI | - | NPPES |
| 0710803 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01819 (Iowa) | Primary |
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