| Des Moines Internal Medicine Pc | |
|
1300 Walnut St Suite 102 Des Moines IA 50309-3401 | |
| (515) 243-1180 | |
| (515) 243-1461 |
| Full Name | Des Moines Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 Walnut St, Des Moines, Iowa |
| Authorized Official Name and Position | Carole A Frier (CEO) |
| Authorized Official Contact | 5152431180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Des Moines Internal Medicine Pc 1300 Walnut St Suite 102 Des Moines IA 50309-3401 Ph: (515) 243-1180 | Des Moines Internal Medicine Pc 1300 Walnut St Suite 102 Des Moines IA 50309-3401 Ph: (515) 243-1180 |
| NPI Number | 1114974961 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974961 | NPI | - | NPPES |
| 0476184 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 02396 (Iowa) | Primary |
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