Whalio Doctors

NPI 1033472691

Bradley Reed Carroll, PAC

Practitioner Physician Assistant West Des Moines, IA

Practice location

Address
6001 Westown Pkwy, West Des Moines, IA 50266-7719
Phone
(515) 224-1414
Fax
(515) 224-5140

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 002298 (IA)

Registry record

NPI
1033472691
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jun 2012
Record last updated
21 Oct 2024

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.