Individual
BEN G VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5950 UNIVERSITY AVE STE 105, WEST DES MOINES, IA 50266
(515) 875-9070
(515) 875-9071
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9255
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002179
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39352
BCBS
NE
Enumeration date
05/17/2006
Last updated
08/17/2021
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