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NPI Code Detail

MEDICARE: MALEA ANN JENSEN DO

MEDICARE: MALEA ANN JENSEN DO
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
1207Q00000XFamily Medicine Physician03029IA

General Provider Information

NPI Number : 1740241942
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALEA ANN JENSEN DO
Provider Business Mailing Address
First Line : 1000 73RD ST STE 23
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-1321
Country : US
Telephone Number : 515-267-1961
Fax Number : 515-225-4427
Provider Business Practice Location Address
First Line : 1000 73RD ST STE 23
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50265-1321
Country : US
Telephone Number : 515-267-1961
Fax Number : 515-225-4427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 03/19/2021

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Directions to “ MALEA ANN JENSEN DO” Practice Location

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