Md West One, Pc

Specialty details in registry · Shenandoah, IA

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At a glance

1 Jack Foster Drive, Shenandoah, IA 51601

NPPES record updated Nov 21, 2019. Public records can lag behind changes at a practice.

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Practice location

1 Jack Foster Drive
Shenandoah, IA 51601

Professional details: NPI, taxonomy & registry record

NPI1154621282

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 207T00000X
Enumeration date: Oct 22, 2010
Record updated: Nov 21, 2019

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207T00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1 Jack Foster Drive
Shenandoah, IA 51601

Phone: (712) 246-7240

Mailing address

8005 FARNAM DR
SUITE 305
OMAHA, NE 68114

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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