Individual
MRS. SAMANTHA BRIANNE BANZHAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6000 UNIVERSITY AVE STE 101, WEST DES MOINES, IA 50266-8201
(515) 241-2600
Mailing address
405 51ST ST, WEST DES MOINES, IA 50265-2829
(712) 304-0695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002411
IA
Other
Enumeration date
07/12/2013
Last updated
10/24/2016
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