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Contact Information

EDUARDO S ANTEZANO, MD
1215 PLEASANT ST
STE 414
DES MOINES, IA50309-1416
 Phone: 515-241-5700
 Fax: 515-241-5775
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDUARDO S ANTEZANO · (Male)

NPI Number 1447363486
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 11/26/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 37277
  • IL License # 036-102068
  • IA Medicaid 1447363486
  • IA Other P01371808 RR MEDICARE
Hospital affiliation(s)
  • GRINNELL REGIONAL MEDICAL CENTER - (Acute Care)
    210 FOURTH AVENUE
    GRINNELL, IA 50112
  • IOWA METHODIST MEDICAL CENTER - (Acute Care)
    1200 PLEASANT STREET
    DES MOINES, IA 50309
  • MARSHALLTOWN MEDICAL & SURGICAL CENTER - (Acute Care)
    3 SOUTH 4TH AVENUE
    MARSHALLTOWN, IA 50158
  • STEWART MEMORIAL COMMUNITY HOSPITAL - (Critical Access)
    1301 WEST MAIN STREET
    LAKE CITY, IA 51449
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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