Healthcare Provider Details

I. General information

NPI: 1922514421
Provider Name (Legal Business Name): WESTOWN AMBULATORY SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 37TH ST STE 3
WEST DES MOINES IA
50266-1900
US

IV. Provider business mailing address

1300 37TH ST STE 3
WEST DES MOINES IA
50266-1900
US

V. Phone/Fax

Practice location:
  • Phone: 515-267-1819
  • Fax: 515-457-9180
Mailing address:
  • Phone: 515-267-1819
  • Fax: 515-457-9180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTIAN P LEDET
Title or Position: OWNER
Credential: MD
Phone: 515-267-1819