Individual
STEPHANIE D O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1601 NW 114TH ST STE 345, CLIVE, IA 50325-7036
(515) 222-7337
(515) 222-7340
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7337
(515) 222-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125072406
IL
208000000X
Pediatrics Physician
Primary
DO-05758
IA
Other
Enumeration date
06/11/2018
Last updated
10/06/2021
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