Individual
CORY C VAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 263-5694
Mailing address
3508 NW ROCKRIDGE RD, ANKENY, IA 50023-6005
(515) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34008246
OH
207P00000X
Emergency Medicine Physician
Primary
3688
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361694
BCBS
—
05
—
0744979
—
IA
05
—
1744979
—
IA
05
—
2478466
—
OH
01
—
31677
WELLMARK OF IOWA
IA
01
—
31683
WELLMARK OF IOWA
—
01
—
P00368423
RAILROAD MEDICARE
—
Enumeration date
05/15/2006
Last updated
07/19/2016
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