Organization
DES MOINES SPINE & SPORT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN MARTIN ROED D.C. (CO-OWNER)
(515) 493-9188
Entity
Organization
Contact information
Practice address
1770 92ND ST, UNIT 10301, WEST DES MOINES, IA 50266-1596
(515) 493-9188
Mailing address
1770 92ND ST, UNIT 10301, WEST DES MOINES, IA 50266-1596
(515) 493-9188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007498
IA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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