# DPMMODLINPRIA LLC

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

## Provider details

- **NPI number:** 1942614367
- **Authorized official:** JOSHUA RAY MODLIN DPM (OWNER)
- **Authorized official phone:** (515) 244-0633

## Contact information

- **Practice address:** 1111 E ARMY POST RD, SUITE 470, DES MOINES, IA 50315-5970
- **Practice address phone:** (515) 244-0633
- **Practice address fax:** (515) 244-2412
- **Mailing address:** 1111 E ARMY POST RD, SUITE 470, DES MOINES, IA 50315-5970
- **Mailing address phone:** (515) 244-0633
- **Mailing address fax:** (515) 244-2412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 073866 | IA | Yes |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 06/13/2014