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Individual

DR. GAYLORD CARL NORDINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 22ND ST, # 207, WEST DES MOINES, IA 50266-1443
(515) 223-5511
(515) 225-6258
Mailing address
PO BOX 65220, WEST DES MOINES, IA 50265-0220
(515) 223-5511
(515) 225-6258

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20489
IA

Other

Enumeration date
07/22/2011
Last updated
07/22/2011
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