Organization
WEST GRAND MEDICAL ASSOCIATES,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT H MAJOR MD (PHYSICIAN)
(515) 226-0112
Entity
Organization
Contact information
Practice address
119 19TH ST, STE 106, WEST DES MOINES, IA 50265-4226
(515) 226-0112
(515) 226-0208
Mailing address
119 19TH ST, STE 106, WEST DES MOINES, IA 50265-4226
(515) 226-0112
(515) 226-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
001418
IA
207Q00000X
Family Medicine Physician
25404
IA
207Q00000X
Family Medicine Physician
Primary
3475
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283879
—
IA
01
—
080035337
RR MEDICARE
IA
05
—
1236604
—
IA
05
—
1430231
—
IA
01
—
36457
BLUE CROSS
—
01
—
IA0102
JOHN DEERE
IA
01
—
IA0111
JOHN DEERE
IA
Enumeration date
01/20/2006
Last updated
08/02/2011
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