Organization
FIFTH AVENUE OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERIC E SAGER D.O. (CEO)
(515) 243-4241
Entity
Organization
Contact information
Practice address
303 UNIVERSITY AVE, DES MOINES, IA 50314-3126
(515) 243-4241
(515) 243-0209
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01747
IA
363LW0102X
Women's Health Nurse Practitioner
F060593
IA
363LW0102X
Women's Health Nurse Practitioner
F070928
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112987
—
IA
Enumeration date
08/31/2006
Last updated
10/02/2007
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