Healthcare Provider Details

I. General information

NPI: 1255302550
Provider Name (Legal Business Name): LINDA D RAILSBACK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 09/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10534 NEW YORK AVENUE
DES MOINES IA
50322-3775
US

IV. Provider business mailing address

PO BOX 4557
DES MOINES IA
50305-4557
US

V. Phone/Fax

Practice location:
  • Phone: 866-290-4325
  • Fax: 515-280-9525
Mailing address:
  • Phone: 866-290-4325
  • Fax: 515-280-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19756
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: