# IOWA SPINE CARE PLC

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

## Provider details

- **NPI number:** 1932152865
- **Authorized official:** DANIEL J. MCGUIRE M.D. (PRESIDENT CEO)
- **Authorized official phone:** (515) 237-3974

## Contact information

- **Practice address:** 623 E 12TH ST, DES MOINES, IA 50309-5515
- **Practice address phone:** (515) 288-6325
- **Practice address fax:** (515) 288-6060
- **Mailing address:** 2213 GRAND AVE, DES MOINES, IA 50312-5305
- **Mailing address phone:** (515) 237-3974
- **Mailing address fax:** (515) 883-2692

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/11/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1932152865 | MEDICAID | IA |
| 01 | — | DB6815 | RAILROAD MEDICARE | IA |
