; NPI #1508126871

Contact Information

GABRIEL A CULLOM

2328 E 40TH ST
DES MOINES, IA 50317-5624

Phone: 515-422-0606
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Taxi	344600000X

Indicates primary specialty

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NPI Profile & details for

NPI # 1508126871

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 05/21/2012

Last updated 05/21/2012 - About 14 years ago

Identifiers

License #

3343

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Taxi

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