208100000X
Clive, IA
Specialty
208100000X
Credential
M.D.
NPI
1174563118
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 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X