# DES MOINES INTERNAL MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114974961
- **Authorized official:** CAROLE A FRIER DO (CEO)
- **Authorized official phone:** (515) 243-1180

## Contact information

- **Practice address:** 1300 WALNUT ST, SUITE 102, DES MOINES, IA 50309-3401
- **Practice address phone:** (515) 243-1180
- **Practice address fax:** (515) 243-1461
- **Mailing address:** 1300 WALNUT ST, SUITE 102, DES MOINES, IA 50309-3401
- **Mailing address phone:** (515) 243-1180
- **Mailing address fax:** (515) 243-1461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 02396 | IA | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 05/30/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0476184 | — | IA |