Individual
LOUISE M CONVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3509 E 29TH ST, DES MOINES, IA 50317-4253
(515) 248-1600
(515) 248-1610
Mailing address
9943 HICKMAN RD, SUITE 105, URBANDALE, IA 50322-5304
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02833
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110193281
RR MEDICARE
—
05
—
3122713
—
IA
01
—
I99090050
MEDICARE PTAN
IA
Enumeration date
05/18/2006
Last updated
07/01/2014
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