| Penn Avenue Internal Medicine | |
|
1201 Pennsylvania Ave Des Moines IA 50316-2339 | |
| (515) 266-1000 | |
| (515) 266-1824 |
| Full Name | Penn Avenue Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1201 Pennsylvania Ave, 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 |
|---|---|
| Penn Avenue Internal Medicine 5409 Nw 88th St Suite 200 Johnston IA 50131-2949 Ph: (515) 362-5980 | Penn Avenue Internal Medicine 1201 Pennsylvania Ave Des Moines IA 50316-2339 Ph: (515) 266-1000 |
| NPI Number | 1194776955 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194776955 | NPI | - | NPPES |
| CI3009 | Other | IA | RAILROAD MEDICARE GROUP |
| 0227926 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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