Individual
DR. CHRIS K DENOUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1300 DES MOINES ST, STE 103, DES MOINES, IA 50309-5502
(515) 266-5353
(515) 266-2216
Mailing address
1300 DES MOINES ST, STE 103, DES MOINES, IA 50309-5502
(515) 266-5353
(515) 266-2216
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01711
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193847
—
IA
01
—
0718900001
DME
IA
01
—
1073626941
CEDI
IA
Enumeration date
08/16/2006
Last updated
10/27/2009
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