Individual
DOUGLAS E SELOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1111 6TH AVE, PEDIATRIC EMERGENCY DEPT, DES MOINES, IA 50314-2613
(515) 247-3211
(515) 643-8933
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 247-3292
(515) 643-8933
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2782
IA
208000000X
Pediatrics Physician
2782
IA
208M00000X
Hospitalist Physician
2782
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33642
WELLMARK
IA
05
—
4110247
—
IA
Enumeration date
09/13/2006
Last updated
01/03/2014
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