NPI 1811126055

Abundant Life Vein Centers LLC

Organisation Exclusive Provider Organization West Des Moines, IA

Practice location

Address: 1300 37th St Suite 3, West Des Moines, IA 50266-1900
Phone: (515) 223-0592
Fax: (515) 223-8316

Authorised official

Name: Robert John Anderson
Title: Owner/Medical Director
Phone: (515) 223-0592

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 2086S0129X (IA)

Other Exclusive Provider Organization providers in Iowa →

Registry record

NPI: 1811126055
Entity type: Organization
NPI issued: 9 Jul 2009
Record last updated: 9 Jul 2009

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.