| Dr John Clark Bardole, MD | |
|
5950 University Ave, Ste 341, West Des Moines, IA 50266-8216 | |
| (515) 875-9800 | |
| (515) 875-9802 |
| Full Name | Dr John Clark Bardole |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 5950 University Ave, West Des Moines, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841283447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 17743 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Clark Bardole, MD Po Box 4907, Des Moines, IA 50306-4907 Ph: (515) 875-9925 | Dr John Clark Bardole, MD 5950 University Ave, Ste 341, West Des Moines, IA 50266-8216 Ph: (515) 875-9800 |
Fawad Sabooh Zafar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 73rd St Ste 17, West Des Moines, IA 50265 Phone: 515-277-8900 Fax: 515-223-7361 | |
Dr. Jonathan M Fialkov, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5950 University Ave, Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 Fax: 515-875-9802 | |
Anthony Avallone, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5950 University Ave Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 | |
John Cochran, MD Urology Medicare: Medicare Enrolled Practice Location: 5950 University Ave Ste 341, West Des Moines, IA 50266 Phone: 515-875-9800 Fax: 515-875-9804 |