Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 17768 | IA |
NPI | 1184615130 |
---|---|
Provider Name | Dr. Alan Kent Munson |
First Address | Ames, IA 50010-3014 |
Second Address | Ames, IA 50010-3014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 20/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A01091 | (02) | IA |