Individual
BENJAMIN CARMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-2200
Mailing address
225 E CENTER ST APT 222, DES MOINES, IA 50309-1875
(970) 692-4719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110220
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2020
Last updated
09/16/2021
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