NPI 1841283447

John Clark Bardole, MD

Practitioner Urology Physician West Des Moines, IA

Practice location

Address: 5950 University Ave STE 341, West Des Moines, IA 50266-8216
Phone: (515) 875-9800
Fax: (515) 875-9802
Mailing address: PO Box 4907, Des Moines, IA 50306-4907

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 17743 (IA)

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Registry record

NPI: 1841283447
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2005
Record last updated: 19 Nov 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.