# INTERVENTIONAL ORTHOPEDIC GROUP LLC

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

## Provider details

- **NPI number:** 1730759804
- **Authorized official:** SHAUN BUSS (GENERAL MANAGER)
- **Authorized official phone:** (215) 840-0237

## Contact information

- **Practice address:** 6151 THORNTON AVE STE 200, DES MOINES, IA 50321-2413
- **Practice address phone:** (515) 421-4090
- **Practice address fax:** (402) 939-0407
- **Mailing address:** 6151 THORNTON AVE STE 200, DES MOINES, IA 50321-2413
- **Mailing address phone:** (515) 421-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2021
- **Last updated:** 06/30/2021