Individual
JULIE L ANDERSON-SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 PLEASANT ST, PEDIATRIC EMERGENCY DEPARTMENT, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, PEDIATRIC EMERGENCY DEPARTMENT, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
33838
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0470849
—
IA
01
—
I16623
MEDICARE
—
Enumeration date
12/01/2005
Last updated
08/26/2009
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