Organization
JERROLD V. FLATT D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERROLD VERLIN FLATT D.O. (PHYSICIAN/OWNER)
(515) 262-0996
Entity
Organization
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 316, DES MOINES, IA 50316-2366
(515) 262-0996
(515) 264-1009
Mailing address
1301 PENN AVE STE 316, DES MOINES, IA 50316-2366
(515) 262-0996
(515) 264-1009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01819
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710803
—
IA
Enumeration date
06/26/2006
Last updated
11/23/2009
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