MEDICARE: JOEL E RAND PA

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
1	363AS0400X	Surgical Physician Assistant	001376	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1050518	OTHER	GA	CERTIFICATE NUMBER

General Provider Information

NPI Number	:	1629140041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL E RAND PA

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-358-9300
Fax Number	:	515-358-9320

Provider Business Practice Location Address
First Line	:	411 LAUREL ST STE 2100
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50314-3026
Country	:	US
Telephone Number	:	515-358-9300
Fax Number	:	515-358-9320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	11/25/2024

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Directions to “ JOEL E RAND PA” Practice Location

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