Healthcare Provider Details

I. General information

NPI: 1326014101
Provider Name (Legal Business Name): WEST DES MOINES OB/GYN ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 10/12/2022
Certification Date: 10/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 WESTOWN PKWY SUITE 140
WEST DES MOINES IA
50266-6702
US

IV. Provider business mailing address

4949 WESTOWN PKWY SUITE 140
WEST DES MOINES IA
50266-6702
US

V. Phone/Fax

Practice location:
  • Phone: 515-223-5466
  • Fax: 515-223-5405
Mailing address:
  • Phone: 515-223-5466
  • Fax: 515-223-5405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. DARLA STONE
Title or Position: OFFICE MANAGER
Credential:
Phone: 515-223-5466