Individual
JAMES RICHARD FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 PLEASANT ST, SUITE 400, DES MOINES, IA 50309-1416
(515) 241-5722
(515) 241-4403
Mailing address
1215 PLEASANT ST STE 400, DES MOINES, IA 50309-1418
(515) 241-5722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25103
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048264
—
IA
01
—
25103
TRICARE PROVIDER #
IA
01
—
28055
BLUE SHIELD PROVIDER #
IA
01
—
4284
MIDLANDS PROVIDER #
IA
01
—
IA0120
JOHN DEERE PROVIDER #
IA
Enumeration date
12/23/2005
Last updated
07/09/2007
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