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Organization
STADIA SPORTS MEDICINE PC
Active
Organization
STADIA SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD THOMAS CARLSON M.D. (CEO, STADIA SPORTS MEDICINE)
(515) 221-1102
Entity
Organization
Contact information
Practice address
7601 OFFICE PLAZA DR N STE 140, WEST DES MOINES, IA 50266-1207
(515) 221-1102
(515) 221-1272
Mailing address
7601 OFFICE PLAZA DR N STE 140, WEST DES MOINES, IA 50266-1207
(515) 221-1102
(515) 221-1272
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
36501
IA
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/12/2006
Last updated
07/10/2026
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