Individual
TAMARA S CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 433-8498
(515) 433-8965
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 433-8498
(515) 433-8965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
03013
IA
207Q00000X
Family Medicine Physician
Primary
DO-03013
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165605
—
IA
01
—
31622
BCBS PROVIDER #
IA
01
—
546830011
MEDICARE PTAN
IA
01
—
546840012
MEDICARE PTAN
IA
Enumeration date
05/27/2005
Last updated
04/20/2026
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