Organization
EVIZZIT OF IOWA PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG WILSON (ASSISTANT VICE PRESIDENT)
(515) 979-5460
Entity
Organization
Contact information
Practice address
1501 42ND ST STE 120, WEST DES MOINES, IA 50266-1005
(855) 270-3625
Mailing address
1501 42ND ST STE 120, WEST DES MOINES, IA 50266-1005
(855) 270-3625
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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