Provider Demographics
NPI:1558586057
Name:MCENTAFFER, AMY BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:BETH
Last Name:MCENTAFFER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9255
Mailing Address - Fax:515-875-9223
Practice Address - Street 1:5950 UNIVERSITY AVE
Practice Address - Street 2:STE 205
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266
Practice Address - Country:US
Practice Address - Phone:515-875-9290
Practice Address - Fax:515-875-9291
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2024-01-02
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Provider Licenses
StateLicense IDTaxonomies
IAMD-37766207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1558586057Medicare PIN