Individual
JAMES DAVID NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 201, WEST DES MOINES, IA 50266-8203
(515) 241-2400
(515) 241-2401
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5100
(515) 241-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20846
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153395
—
IA
01
—
110147576
RR MEDICARE
IA
05
—
1153395
—
IA
01
—
P01266135
RR MEDICARE
IA
Enumeration date
01/10/2006
Last updated
03/11/2014
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