# DES MOINES ORTHOPAEDIC SURGEONS PC

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

## Provider details

- **NPI number:** 1851775746
- **Authorized official:** KEVIN L DERONDE (CORPORATE ADMINISTRATOR)
- **Authorized official phone:** (515) 224-1414

## Contact information

- **Practice address:** 6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
- **Practice address phone:** (515) 224-1414
- **Practice address fax:** (515) 224-5140
- **Mailing address:** 6001 WESTOWN PKWY, WEST DES MOINES, IA 50266-7702
- **Mailing address phone:** (515) 224-1414
- **Mailing address fax:** (515) 224-5140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 078992 | IA | Yes |

## Other

- **Enumeration date:** 07/10/2015
- **Last updated:** 07/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 078992 | IOWA LICENSE | IA |