Unknown Individual – Obstetrics & Gynecology Physician, NPI 1669468542
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12129, University Avenue, Clive, Polk County, Iowa, 50325, United States
SUITE 1500
CLIVE, IA 503258287
Phone: (515) 657-6210
Fax: (515) 657-6208
Type: Mailing
3930, Westown Parkway, Regency West Office Park, West Des Moines, Polk County, Iowa, 50266, United States
SUITE A
WEST DES MOINES, IA 50266
Phone: (515) 657-6210
Fax: (515) 657-6208
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50325)
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