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Individual

DR. ANDREW NELSON STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
5950 UNIVERSITY AVE, STE 265, WEST DES MOINES, IA 50266
(515) 875-9450
(515) 875-9457
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9923

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036.129445
IL
207Y00000X
Otolaryngology Physician
Primary
DO-04626
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477743482
IL
Enumeration date
07/26/2007
Last updated
01/11/2024
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