Individual
CORNELIUS JASON GUCFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 WESTOWN PKWY, SUITE 200, WEST DES MOINES, IA 50266-7707
(515) 283-1221
(515) 283-2017
Mailing address
6600 WESTOWN PKWY, SUITE 200, WEST DES MOINES, IA 50266-7707
(515) 283-1221
(515) 283-2017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
45155
WI
2084P0800X
Psychiatry Physician
Primary
MD-34440
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942274626
—
IA
05
—
34467000
—
WI
Enumeration date
02/17/2006
Last updated
03/11/2015
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