Individual
DR. HOLLEY A BERMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2301 E 14TH ST, DES MOINES, IA 50316-1901
(515) 262-0404
(515) 262-0489
Mailing address
2301 E 14TH ST, DES MOINES, IA 50316-1901
(515) 262-0404
(515) 262-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4031
IA
207Q00000X
Family Medicine Physician
R8458
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083804793
—
IA
Enumeration date
07/29/2007
Last updated
01/04/2013
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