IndividualActive
John Nanson, MD
NPI 1104018415 · General Practice Physician · Des Moines, IA
Provider details
- NPI number
- 1104018415
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20112 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1607 E 33rd St
Ellefson Free Clinic
Des Moines, IA 50317-2705
Phone: (515) 266-7622
Approximate (ZIP-level) locationGet directions
Mailing address
1190 S Sundown Rd
Prescott, AZ 86303-5105
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2007-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.