Individual
CHARLES W LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 350, WEST DES MOINES, IA 50266-8294
(515) 226-8484
(515) 226-8487
Mailing address
6000 UNIVERSITY AVE, SUITE 350, WEST DES MOINES, IA 50266-8294
(515) 226-8484
(515) 226-8487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25556
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055657
—
IA
01
—
070011310
RAILROAD MEDICARE
IA
01
—
2972
MIDLANDS
IA
Enumeration date
09/05/2006
Last updated
09/24/2008
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