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Hrt Ia PC — NPI 1104639962, West Des Moines, IA | NPI Central

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NPI 1104639962

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Hrt Ia PC

NPI 1104639962 · Adult Medicine Physician · West Des Moines, IA

Provider details

NPI number: 1104639962
Entity type: Organization
Primary specialty: Adult Medicine PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Amanda Wilkinson, Business Operations Director(602) 796-2559

Specialties & taxonomies

Adult Medicine PhysicianPrimary207QA0505X
Allopathic & Osteopathic Physicians

Practice location

800 S 50th St Ste 101

West Des Moines, IA 50265-5382

Phone: (725) 204-6055

Approximate (ZIP-level) locationGet directions

More IA providers

Mailing address

800 S 50th St Ste 101

West Des Moines, IA 50265-5382

Other names (DBA / former)

Doing business as: Ageless Men'S Health

Registry dates

Enumerated: 2025-01-27
Last updated: 2025-01-27
Certified: 2025-01-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.