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Individual

AMANDA KAY VAN WYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2005
Mailing address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2005

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002111
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002111
IOWA LICENSE NUMBER
IA
Enumeration date
07/13/2010
Last updated
07/17/2014
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