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NPI Code Detail

MEDICARE: DR. DANIEL DAVID OPHEIM M.D.

MEDICARE: DR. DANIEL DAVID OPHEIM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician55741MN
2208C00000XColon & Rectal Surgery Physician55741MN
3208C00000XColon & Rectal Surgery Physician61459TN
4208C00000XColon & Rectal Surgery PhysicianMD-49622IA

General Provider Information

NPI Number : 1295821569
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL DAVID OPHEIM M.D.
Provider Business Mailing Address
First Line : PO BOX 424
Second Line :
City : DES MOINES
State : IA
Zip : 50302-0424
Country : US
Telephone Number : 515-875-9255
Fax Number : 515-875-9223
Provider Business Practice Location Address
First Line : 1212 PLEASANT ST STE 211
Second Line :
City : DES MOINES
State : IA
Zip : 50309-1411
Country : US
Telephone Number : 515-875-9770
Fax Number : 515-875-9771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 01/02/2024

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