# DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Des Moines University Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164475760
- **Authorized official:** PHILIP C. BLUMBERG (ADMINISTRATOR)
- **Authorized official phone:** (515) 271-1574

## Contact information

- **Practice address:** 3200 GRAND AVE, DES MOINES, IA 50312-4104
- **Practice address phone:** (515) 471-9243
- **Practice address fax:** (515) 471-9319
- **Mailing address:** 3200 GRAND AVE, DES MOINES, IA 50312-4104
- **Mailing address phone:** (515) 471-9243
- **Mailing address fax:** (515) 471-9319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | IA | — |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |
| 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