# MEDI MIDWEST PLLC

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

## Provider details

- **NPI number:** 1992658181
- **Authorized official:** JACOB MOORE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (515) 612-6334

## Contact information

- **Practice address:** 2001 WESTOWN PKWY STE 207, WEST DES MOINES, IA 50265-1540
- **Practice address phone:** (515) 612-6334
- **Mailing address:** 2001 WESTOWN PKWY STE 207, WEST DES MOINES, IA 50265-1540
- **Mailing address phone:** (515) 612-6334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2026
- **Last updated:** 02/17/2026