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NPI Code Detail

MEDICARE: RONNIE HAWKINS M.D.

MEDICARE: RONNIE HAWKINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician22705IA

General Provider Information

NPI Number : 1558353474
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONNIE HAWKINS M.D.
Provider Business Mailing Address
First Line : 1200 UNIVERSITY AVE
Second Line : STE 200
City : DES MOINES
State : IA
Zip : 50314-2355
Country : US
Telephone Number : 515-248-1447
Fax Number : 515-248-1440
Provider Business Practice Location Address
First Line : 3509 E 29TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50317-4253
Country : US
Telephone Number : 515-248-1600
Fax Number : 515-248-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/21/2022

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Directions to “ RONNIE HAWKINS M.D.” Practice Location

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