Iowa Pain Management And Medicine Clinic Pc | |
1235 8th St West Des Moines IA 50265-2623 | |
(515) 263-3236 | |
(515) 225-4048 |
Full Name | Iowa Pain Management And Medicine Clinic Pc |
---|---|
Speciality | Nurse Practitioner |
Location | 1235 8th St, West Des Moines, Iowa |
Authorized Official Name and Position | John F. Peppin (PRESIDENT/CEO) |
Authorized Official Contact | 5152633236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Iowa Pain Management And Medicine Clinic Pc 2717 E Euclid Ave Des Moines IA 50317-4243 Ph: (515) 243-2057 | Iowa Pain Management And Medicine Clinic Pc 1235 8th St West Des Moines IA 50265-2623 Ph: (515) 263-3236 |
NPI Number | 1225083132 |
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Provider Enumeration Date | 05/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225083132 | NPI | - | NPPES |
2143735 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Iowa) | Primary |
208VP0000X | Pain Medicine - Pain Medicine | (Iowa) | Primary |
363L00000X | Nurse Practitioner | (Iowa) | Primary |
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