Organization
DES MOINES ANESTHESIOLOGISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT CROSKEY (PRESIDENT)
(515) 263-5628
Entity
Organization
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2302
(515) 263-5628
Mailing address
PO BOX 675, ANKENY, IA 50021-0675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0041939
—
IA
05
—
0265496
—
IA
Enumeration date
09/22/2006
Last updated
10/29/2007
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