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General NPI Number Information
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NPI Number | 1174933998
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Entity Type | Organization
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Legal Business Name | METRO GERIATRIC SERVICES
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 1401 50TH ST STE 100
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5924
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Country | US
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Telephone | 515-225-7132
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Fax | 515-218-1500
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Provider Business Mailing Address
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Address Line | 1501 50TH ST STE 110
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5920
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Country | US
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Telephone | 515-237-3974
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Fax | 888-503-7693
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | ROBERT D. CONNER
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Credential | D.O.
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Telephone | 515-225-7132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 01911
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License Number State | IA
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