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Organization
DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER
Active
Organization
DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER
Active
Other names
Des Moines University Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C. BLUMBERG (ADMINISTRATOR)
(515) 271-1574
Entity
Organization
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 471-9243
(515) 471-9319
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 471-9243
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
IA
207Q00000X
Family Medicine Physician
Primary
—
IA
207R00000X
Internal Medicine Physician
—
IA
208100000X
Physical Medicine & Rehabilitation Physician
—
IA
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
IA
208D00000X
General Practice Physician
—
IA
213EP1101X
Primary Podiatric Medicine Podiatrist
—
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
IA
225100000X
Physical Therapist
—
IA
225X00000X
Occupational Therapist
—
IA
363A00000X
Physician Assistant
—
IA
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/18/2006
Last updated
08/12/2022
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