Individual
VAUN W DEJONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1212 PLEASANT ST, SUITE 405, DES MOINES, IA 50309-1414
(515) 243-8842
(515) 282-9806
Mailing address
1212 PLEASANT ST, SUITE 405, DES MOINES, IA 50309-1414
(515) 243-8842
(515) 282-9806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3672
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093792129
—
IA
Enumeration date
12/29/2005
Last updated
05/22/2012
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