Individual
CHANCE LEVI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
(515) 241-5586
Mailing address
1594 SW TWIN GATES DR, ANKENY, IA 50023-8215
(319) 939-6674
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R-13597
IA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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