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Individual

ROBERT NELSON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
411 LAUREL ST, SUITE 2350, DES MOINES, IA 50314-3017
(515) 280-4700
(515) 280-4701
Mailing address
411 LAUREL ST STE 2350, DES MOINES, IA 50314-3026
(515) 280-4700
(515) 280-4701

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3419
IA
207RN0300X
Nephrology Physician
Primary
3419
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891746350
WELLMARK BCBS
HI
05
1891746350
IA
01
P00329646
RAILROAD MEDICARE
IA
Enumeration date
05/12/2006
Last updated
01/06/2015
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