Individual
DR. MELY MARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
6000 UNIVERSITY AVE, STE 100, WEST DES MOINES, IA 50266-8203
(515) 241-2500
Mailing address
6000 UNIVERSITY AVE, STE 100, WEST DES MOINES, IA 50266-8203
(515) 241-2500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125057754
IL
208000000X
Pediatrics Physician
Primary
25MA10251700
NJ
208000000X
Pediatrics Physician
40758
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457667792
—
IA
Enumeration date
08/24/2010
Last updated
02/10/2021
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