Individual
MITCHELL S MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
950 OFFICE PARK RD, SUITE 100, WEST DES MOINES, IA 50265-2549
(515) 224-0979
(515) 223-3862
Mailing address
190 SE CRABAPPLE DR, WAUKEE, IA 50263-8175
(515) 979-8740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01684
IA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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