Individual
TIMOTHY L EVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6601 SW 9TH ST, DES MOINES, IA 50315-6138
(515) 643-9400
(515) 643-9405
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-9400
(515) 643-9405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03025
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3151621
—
IA
Enumeration date
08/08/2006
Last updated
01/29/2010
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