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Organization
DES MOINES ORTHOPAEDIC SURGEONS PC
Active
Organization
DES MOINES ORTHOPAEDIC SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN L DERONDE (CORPORATE ADMINISTRATOR)
(515) 224-1414
Entity
Organization
Contact information
Practice address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
(515) 224-1414
(515) 224-5140
Mailing address
6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
078992
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078992
IOWA LICENSE
IA
Enumeration date
07/10/2015
Last updated
07/10/2015
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