| |
411 Laurel St Ste 3320, Des Moines, IA 50314-3017 | |
(515) 643-5203 | |
(515) 643-5204 |
Full Name | |
---|---|
Type | Facility |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 411 Laurel St Ste 3320, Des Moines, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831502442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (Iowa) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Iowa) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1475, Des Moines, IA 50305-1475 Ph: (515) 643-5203 | 411 Laurel St Ste 3320, Des Moines, IA 50314-3017 Ph: (515) 643-5203 |