NPI 1306068754

Broadlawns Medical Center

Organisation Anesthesiology Physician Des Moines, IA

Practice location

Address: 1801 Hickman Road, Des Moines, IA 50314-1548
Phone: (515) 282-2200
Mailing address: 1801 Hickman Rd, Des Moines, IA 50314-1548

Authorised official

Name: Vincent J Mandracchia
Title: Chief Medical Officer
Phone: (515) 282-2562

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 2785 (IA)

Other Anesthesiology providers in Iowa →

Registry record

NPI: 1306068754
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 30 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.