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Organization

EVIZZIT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG WILSON (PRESIDENT)
(515) 979-5460
Entity
Organization

Contact information

Practice address
2829 WESTOWN PKWY, SUITE 220, WEST DES MOINES, IA 50266-1314
(855) 270-3625
(888) 972-4901
Mailing address
2829 WESTOWN PKWY, SUITE 220, WEST DES MOINES, IA 50266-1314
(855) 270-3625
(888) 972-4901

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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