# JUDITH L. NAYERI, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891923421
- **Authorized official:** JUDITH LYNNE NAYERI D.O. (PRESIDENT)
- **Authorized official phone:** (515) 250-4836

## Contact information

- **Practice address:** 1701 22ND ST, SUITE 201, WEST DES MOINES, IA 50266-1443
- **Practice address phone:** (515) 440-6622
- **Practice address fax:** (515) 440-6698
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2009
- **Last updated:** 06/23/2009