Healthcare Provider Details

I. General information

NPI: 1225211428
Provider Name (Legal Business Name): METRO ANESTHESIA & PAIN MNGMT LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2007
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 LYON ST
DES MOINES IA
50309-5458
US

IV. Provider business mailing address

5901 WESTOWN PWKY SUITE 210
WEST DES MOINES IA
50266
US

V. Phone/Fax

Practice location:
  • Phone: 515-221-9222
  • Fax: 515-221-0575
Mailing address:
  • Phone: 515-221-9222
  • Fax: 515-221-0575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID VICTOR ROSS
Title or Position: ADMINISTRATOR / PRACTICE MANAGER
Credential:
Phone: 515-221-9222