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Individual

DR. JERROLD VERLIN FLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1301 PENN AVE, SUITE #316, DES MOINES, IA 50316-2350
(515) 262-0996
(515) 264-1009
Mailing address
1301 PENN AVE, SUITE #316, DES MOINES, IA 50316-2350
(515) 262-0996
(515) 264-1009

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01819
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0170803
IA
Enumeration date
11/09/2005
Last updated
11/23/2009
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