Alan Randal Bollinger
Family Doctor - Addiction Medicine
3509 E 29th St
Des Moines
, Iowa 50317
Alan Randal Bollinger
Family Doctor - Addiction Medicine
3509 E 29th St
Des Moines
, Iowa 50317
(515) 248-1440
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Alan Randal Bollinger
- 1200 University Ave Ste 200
- Des Moines, IA
- Zip : 50314-2355
- Fax : (515) 248-1440
- Phone : (515) 248-1447
Second Address
- Alan Randal Bollinger
- 3509 E 29th St
- Des Moines, IA
- Zip : 50317
- Fax : (515) 248-1610
- Phone : (515) 248-1600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | DO-02348 | IA |
National Provider Identifier
| NPI | 1295830115 |
|---|---|
| Provider Name | Alan Randal Bollinger |
| First Address | Des Moines, IA 50314-2355 |
| Second Address | Des Moines, IA 50317 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 31/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0421628 | (05) | IA |
| 1295830115 | MEDICARE PTAN IB3072001 (01) | IA |
| F71604 | (02) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.