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1669459533
SCOTT P FACKRELL
WEST DES MOINES, IA
NPI
1669459533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA 02977)
Enumeration Date
2005-12-30
Last Update Date
2012-08-30
Business Address
-- SCOTT P FACKRELL DO
6000 UNIVERSITY AVE SUITE 101
WEST DES MOINES, IA 50266-8203
Phone number: 515-241-2600
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Mailing Address
-- SCOTT P FACKRELL DO
6000 UNIVERSITY AVE SUITE 101
WEST DES MOINES, IA 50266-8203
Phone number: 515-241-2600
Copy
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