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5700 Hickman Rd Des Moines IA 50310-1121 | |
| (515) 274-3551 | |
| (515) 274-3512 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 5700 Hickman Rd, Des Moines, Iowa |
| Authorized Official Name and Position | Joseph F. Corfits (CFO) |
| Authorized Official Contact | 5152416507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5409 Nw 88th St Suite 200 Johnston IA 50131-2949 Ph: (515) 362-5980 | 5700 Hickman Rd Des Moines IA 50310-1121 Ph: (515) 274-3551 |
| NPI Number | 1770534364 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770534364 | NPI | - | NPPES |
| 0167734 | Medicaid | IA | |
| CJ9377 | Other | IA | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Critical Care Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 University Ave, Des Moines, IA 50314 Phone: 515-875-4000 Fax: 515-875-4005 | |
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