Doctor Name: | BRENDAN CASE |
NPI Number: | 1821470980 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R-10326 |
Business Practice Address: | 1415 Woodland Ave Ste 140 Des Moines, IA - 503093203 |
Business Phone Number: | 5152415995 |
Business Fax Number: | 5152416576 |
Mailing Address: | 1415 Woodland Ave Ste 140, DES MOINES |
State: | IA |
Postal Code: | 503093203 |
Phone Number: | 5152415995 |
Fax Number: | 5152416576 |
NPI Enumeration Date: | 06/25/2015 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | R-10326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |