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Organization
PSYCHIATRY ASSOCIATES OF WYOMING
Active
Organization
PSYCHIATRY ASSOCIATES OF WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MOTARI MOGONDO (OWNER)
(307) 333-1123
Entity
Organization
Contact information
Practice address
100 E EUCLID AVE, DES MOINES, IA 50313-4511
(307) 333-1123
(307) 215-1187
Mailing address
100 E EUCLID AVE, DES MOINES, IA 50313-4511
(307) 333-1123
(307) 215-1187
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
08/31/2026
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