Healthcare Provider Details

I. General information

NPI: 1306040134
Provider Name (Legal Business Name): SEAN DAVID STANGA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 S 60TH ST STE 160
WEST DES MOINES IA
50266-0007
US

IV. Provider business mailing address

595 S 60TH ST STE 160
WEST DES MOINES IA
50266-0007
US

V. Phone/Fax

Practice location:
  • Phone: 515-644-8448
  • Fax:
Mailing address:
  • Phone: 515-644-8448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD53743
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number12366
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: