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James R Trahan MD Plc

Community/Behavioral Health in Ames, IA. Organization (NPI-2).

NPI number1508312349
StatusActive
Last updated in NPPESAug 31, 2016

Details

NPI
1508312349
Entity type
Organization (NPI-2)
Legal business name
James R Trahan MD Plc
Organization subpart
No
Enumeration date
Aug 31, 2016
Last updated
Aug 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health27031IAYes

Practice location

2521 University Blvd
Suite #122
Ames, IA 50010-8629

Phone 515-292-2150 · Fax 515-292-2184

Mailing address

2521 University Blvd
Suite #122
Ames, IA 50010-8629

Phone 515-292-2150 · Fax 515-292-2184

Authorized official

James Ray Trahan
Psychiatrist
5152922150

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