| Healthy Aging And Memory Clinic | |
|
1300 50th Street Suite 104 West Des Moines IA 50266 | |
| (515) 224-4100 | |
| (515) 224-4926 |
| Full Name | Healthy Aging And Memory Clinic |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1300 50th Street, West Des Moines, Iowa |
| Authorized Official Name and Position | Robert L Bender (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5152244100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Aging And Memory Clinic 2555 106th Street Urbandale IA 50322-3766 Ph: (515) 334-7524 | Healthy Aging And Memory Clinic 1300 50th Street Suite 104 West Des Moines IA 50266 Ph: (515) 224-4100 |
| NPI Number | 1417044645 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417044645 | NPI | - | NPPES |
| 2184259 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 22610 (Iowa) | Primary |
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