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NPI Code Detail

MEDICARE: DAVID LAWRENCE YURDIN P.A.

MEDICARE: DAVID LAWRENCE YURDIN P.A.
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
1363A00000XPhysician Assistant000700IA

General Provider Information

NPI Number : 1952459463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LAWRENCE YURDIN P.A.
Provider Business Mailing Address
First Line : 1200 UNIVERSITY AVE
Second Line : STE 200
City : DES MOINES
State : IA
Zip : 50314-2343
Country : US
Telephone Number : 515-248-1447
Fax Number : 515-248-1440
Provider Business Practice Location Address
First Line : 1200 UNIVERSITY AVE STE 120
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2355
Country : US
Telephone Number : 515-248-1500
Fax Number : 515-248-1510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 03/17/2018

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Directions to “ DAVID LAWRENCE YURDIN P.A.” Practice Location

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