Healthcare Provider Details
I. General information
NPI: 1942354816
Provider Name (Legal Business Name): DAVID A. YOUNT DPM, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/22/2007
Last Update Date: 10/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2459 E EUCLID AVE SUITE A
DES MOINES IA
50317-3657
US
IV. Provider business mailing address
2459 E EUCLID AVE SUITE A
DES MOINES IA
50317-3657
US
V. Phone/Fax
- Phone: 515-262-5856
- Fax: 515-266-1211
- Phone: 515-262-5856
- Fax: 515-266-1211
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 510 |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DAVID
A
YOUNT
Title or Position: OWNER
Credential: DPM
Phone: 515-262-5856