Individual
DR. CLINT ROSS HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 PLEASANT ST, #S-128, DES MOINES, IA 50309-1406
(515) 241-6076
Mailing address
1200 PLEASANT ST, #S-128, DES MOINES, IA 50309-1406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40018
IA
207P00000X
Emergency Medicine Physician
54934
MN
Other
Enumeration date
06/30/2009
Last updated
08/14/2013
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