Individual
DR. SARAH A BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3500 UNIVERSITY BLVD, SUITE 1001, AMES, IA 50010
(515) 239-3410
(515) 817-1237
Mailing address
1215 DUFF AVENUE, AMES, IA 50010-3014
(515) 239-3410
(515) 817-1237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101017596
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
04989
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151020015
MEDICARE PTAN
IN
05
—
201162230
—
IN
Enumeration date
06/26/2008
Last updated
01/08/2021
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