Organization
PEDIATRIC NEUROLOGY DIVINE SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T. H. GUTU MD (MD/OWNER)
(515) 724-7637
Entity
Organization
Contact information
Practice address
974 73RD ST STE 25, WEST DES MOINES, IA 50265-1026
(515) 724-7637
Mailing address
974 73RD ST STE 25, WEST DES MOINES, IA 50265-1026
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
01/27/2023
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