# CAPITAL ORTHOPAEDICS AND SPORTS MEDICINE LLP

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

## Provider details

- **NPI number:** 1407093008
- **Authorized official:** DR. WILLIAM CHARLES JACOBSON M.D. (PARTNER)
- **Authorized official phone:** (515) 440-2676

## Contact information

- **Practice address:** 1601 NW 114TH ST, SUITE 142, DES MOINES, IA 50325-7007
- **Practice address phone:** (515) 440-2676
- **Practice address fax:** (515) 440-2677
- **Mailing address:** 1601 NW 114TH ST, SUITE 142, DES MOINES, IA 50325-7007
- **Mailing address phone:** (515) 440-2676
- **Mailing address fax:** (515) 440-2677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 33389 | IA | Yes |

## Other

- **Enumeration date:** 01/19/2009
- **Last updated:** 01/19/2009