Individual
BROOKLYN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6000 UNIVERSITY AVE STE 450, WEST DES MOINES, IA 50266-8229
(515) 241-2000
Mailing address
801 COUNTRY CLUB DR, MAQUOKETA, IA 52060-3338
(563) 349-1549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
124023
IA
363AM0700X
Medical Physician Assistant
124023
IA
Other
Enumeration date
03/11/2024
Last updated
05/07/2026
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