Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 33889 | IA |
N | 111NI0900X | Internist | 33889 | IA |
Y | 207RC0200X | Critical Care Medicine | 29910 | WV |
N | 207RC0200X | Critical Care Medicine | 33889 | IA |
NPI | 1023094406 |
---|---|
Provider Name | Dr. Alexander C Flower |
First Address | Des Moines, IA 50312-2520 |
Second Address | Des Moines, IA 50314-3120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2005 |
Last Update Date | 11/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0225706 | (05) | IA |
24542 | WELLMARK (01) | IA |
F58061 | (02) |