Individual
HIJINIO G. CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1111 6TH AVE, EMERGENCY DEPARTMENT, DES MOINES, IA 50314-2610
(515) 247-4445
Mailing address
PO BOX 4925, DES MOINES, IA 50306-4925
(515) 643-4973
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO-03811
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114525
—
IL
01
—
800810
MEDICARE GROUP NO.
—
Enumeration date
08/14/2006
Last updated
06/06/2020
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