Individual
DR. DAPKA NICHOLAS BACCAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2598
(515) 282-3234
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2598
(515) 282-3234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235136581
—
IA
Enumeration date
07/01/2005
Last updated
05/20/2008
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