| Mercy Plastic & Reconstructive Surgery | |
|
411 Laurel St Suite 2250 Des Moines IA 50314-3017 | |
| (515) 643-8045 | |
| Not Available |
| Full Name | Mercy Plastic & Reconstructive Surgery |
|---|---|
| Speciality | Clinic/center |
| Location | 411 Laurel St, Des Moines, Iowa |
| Authorized Official Name and Position | Rebecca Lenz (DIRECTOR) |
| Authorized Official Contact | 5156438727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Plastic & Reconstructive Surgery Po Box 1475 Des Moines IA 50305-1475 Ph: (515) 643-4374 | Mercy Plastic & Reconstructive Surgery 411 Laurel St Suite 2250 Des Moines IA 50314-3017 Ph: (515) 643-8045 |
| NPI Number | 1518147909 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518147909 | NPI | - | NPPES |
| 0251983 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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