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STEPHANIE WEARMOUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
411 LAUREL ST STE A250, DES MOINES, IA 50314-3029
(515) 235-5000
(515) 288-6713
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
093651
IA

Other

Enumeration date
09/26/2018
Last updated
09/26/2018
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