Provider Demographics
NPI:1346532876
Name:GENERAL SURGERY PHYSICIANS PC
Entity Type:Organization
Organization Name:GENERAL SURGERY PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIE
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:MCCLAIREN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:515-244-9950
Mailing Address - Street 1:315 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-3126
Mailing Address - Country:US
Mailing Address - Phone:515-244-9950
Mailing Address - Fax:515-244-5933
Practice Address - Street 1:315 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314-3126
Practice Address - Country:US
Practice Address - Phone:515-244-9950
Practice Address - Fax:515-244-5933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA27700208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty