Organization
STOP CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL VASQUEZ (PRESIDENT/CEO)
(515) 865-5664
Entity
Organization
Contact information
Practice address
5875 FLEUR DR, DES MOINES, IA 50321-2883
(515) 512-5992
Mailing address
5875 FLEUR DR, DES MOINES, IA 50321-2883
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01930
IA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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