Whalio Doctors

NPI 1033230560

Stephanie Lynn Courson Pothoven, DO

Practitioner Urology Physician Clive, IA

Practice location

Address
12129 University Ave STE 100, Clive, IA 50325-8287
Phone
(515) 400-3550
Fax
(515) 400-3551
Mailing address
12129 University Ave STE 200, Clive, IA 50325-8287

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence DO-03795 (IA)

Registry record

NPI
1033230560
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Apr 2007
Record last updated
13 Sep 2021

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.