NPI 1497719843 · live from the CMS NPI Registry
Russell Dean Lee Evans, DPM
Podiatrist in West Des Moines, IA. National Provider Identifier 1497719843, active.
NPI record
| NPI | 1497719843 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 6001 Westown Pkwy, West Des Moines, IA 50266 |
| Practice phone | 515-224-1414 |
| Enumerated | April 13, 2006 |
| Last updated | December 29, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 00659 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.