Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 25567 | IA |
Y | 208200000X | Surgeon | 25567 | IA |
Y | 208600000X | Surgeon | 25567 | IA |
N | 2086S0129X | Vascular Surgeon | 25567 | IA |
NPI | 1760487151 |
---|---|
Provider Name | Cass Franklin |
First Address | Des Moines, IA 50305-1475 |
Second Address | Des Moines, IA 50314-3026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 04/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2240283 | (05) | IA |
A03099 | (02) | IA |