Individual
SALLY JO STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6010 MILLS CIVIC PKWY, SUITE 200, WEST DES MOINES, IA 50266-8345
(515) 224-9666
(515) 224-5913
Mailing address
6010 MILLS CIVIC PKWY, SUITE 200, WEST DES MOINES, IA 50266-8345
(515) 224-9666
(515) 224-5913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02736
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134188683
—
IA
05
—
3073593
—
IA
Enumeration date
03/22/2006
Last updated
08/09/2012
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