Individual
DR. STEVEN ROGER QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5901 WESTOWN PKWY, SUITE 210, WEST DES MOINES, IA 50266-8218
(515) 221-9222
(515) 221-0575
Mailing address
5901 WESTOWN PKWY, SUITE 210, WEST DES MOINES, IA 50266-8218
(515) 221-9222
(515) 221-0575
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1759
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
1759
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017178
—
IA
01
—
50171
GROUP MEDICARE NUMBER
IA
01
—
50177
WELLMARK # (GROUP #)
IA
01
—
CD9106
RR MEDICARE
IA
Enumeration date
07/07/2005
Last updated
01/09/2014
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