Individual
SCOTT STEVEN PROPSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4021 SW 4TH ST, ANKENY, IA 50023-5439
(515) 720-9668
Mailing address
4021 SW 4TH ST, ANKENY, IA 50023-5439
(515) 720-9668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02273
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426221
—
IA
Enumeration date
12/01/2006
Last updated
10/04/2016
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