Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 17602 | IA |
NPI | 1518032580 |
---|---|
Provider Name | James W Hopkins |
First Address | Des Moines, IA 50314-2607 |
Second Address | Des Moines, IA 50314-3034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 03/07/2008 |