NPI 1114912599

Jon Stacy Hade, MD

Practitioner Diagnostic Radiology Physician Des Moines, IA

Practice location

Address: 1221 Pleasant St STE 150, Des Moines, IA 50309
Phone: (515) 244-5109
Fax: (515) 875-9672
Mailing address: 7147 Vista Dr STE 150, West Des Moines, IA 50266-9313

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD-29880 (IA)

Other Radiology providers in Iowa →

Registry record

NPI: 1114912599
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2005
Record last updated: 25 Jun 2018

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.