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Organization
BROADLAWNS MEDICAL CENTER
Active
Organization
BROADLAWNS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT J MANDRACCHIA (CHIEF MEDICAL OFFICER)
(515) 282-2562
Entity
Organization
Contact information
Practice address
1801 HICKMAN ROAD, DES MOINES, IA 50314-1548
(515) 282-2200
Mailing address
1801 HICKMAN ROAD, DES MOINES, IA 50314-1548
(515) 282-2200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000581
IA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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