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General NPI Number Information
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NPI Number | 1518090562
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Entity Type | Organization
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Legal Business Name | MEDICAL CENTER ANESTHESIOLOGISTS, P.C.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 1225 JORDAN CREEK PKWY STE 180
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2346
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Country | US
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Telephone | 515-283-0463
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Fax | 515-283-0794
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Provider Business Mailing Address
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Address Line | 1225 JORDAN CREEK PKWY STE 180
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City | WEST DES MOINES
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State | IA
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Zip | 50266-2346
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Country | US
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Telephone | 515-283-0463
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Fax | 515-283-0794
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | CARRIE JOHNSON
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Credential |
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Telephone | 515-513-3266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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