Organization
HEALTHY AGING AND MEMORY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L BENDER II M.D. (MEDICAL DIRECTOR)
(515) 224-4100
Entity
Organization
Contact information
Practice address
1300 50TH STREET, SUITE 104, WEST DES MOINES, IA 50266
(515) 224-4100
(515) 224-4926
Mailing address
2555 106TH STREET, URBANDALE, IA 50322-3766
(515) 334-7524
(515) 334-7528
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
22610
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2184259
—
IA
Enumeration date
10/09/2006
Last updated
10/04/2011
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