| West Grand Medical Associates,p.c. | |
|
119 19th St Ste 106 West Des Moines IA 50265-4226 | |
| (515) 226-0112 | |
| (515) 226-0208 |
| Full Name | West Grand Medical Associates,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 119 19th St, West Des Moines, Iowa |
| Authorized Official Name and Position | Robert H Major (PHYSICIAN) |
| Authorized Official Contact | 5152260112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Grand Medical Associates,p.c. 119 19th St Ste 106 West Des Moines IA 50265-4226 Ph: (515) 226-0112 | West Grand Medical Associates,p.c. 119 19th St Ste 106 West Des Moines IA 50265-4226 Ph: (515) 226-0112 |
| NPI Number | 1093795411 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093795411 | NPI | - | NPPES |
| 080035337 | Other | IA | RR MEDICARE |
| 0283879 | Medicaid | IA | |
| IA0111 | Other | IA | JOHN DEERE |
| 1236604 | Medicaid | IA | |
| IA0102 | Other | IA | JOHN DEERE |
| 36457 | Other | BLUE CROSS | |
| 1430231 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25404 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 3475 (Iowa) | Primary |
| 207Q00000X | Family Medicine | 001418 (Iowa) | Secondary |
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