Organization
GREENWOOD MEDICAL SERVICES LLC
Active
Other names
Greenwood Medical Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FRED JAMES NESBIT III ARNP (NURSE PRACTITIONER)
(515) 480-7987
Entity
Organization
Contact information
Practice address
500 N VALLEY DR UNIT 804, DES MOINES, IA 50312-1625
(515) 480-7987
Mailing address
500 N VALLEY DR UNIT 804, DES MOINES, IA 50312-1625
(515) 480-7987
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508477316
—
IA
Enumeration date
11/13/2020
Last updated
11/13/2020
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