Organization
DES MOINES UNIVERSITY OSTEOPATHIC MEDICAL CENTER
Active
Other names
Des Moines University Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C. BLUMBERG (ADMINISTRATOR)
(515) 271-1574
Entity
Organization
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 471-9243
(515) 471-9319
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 471-9243
(515) 471-9319
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
IA
207Q00000X
Family Medicine Physician
Primary
—
IA
207R00000X
Internal Medicine Physician
—
IA
208100000X
Physical Medicine & Rehabilitation Physician
—
IA
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
IA
208D00000X
General Practice Physician
—
IA
213EP1101X
Primary Podiatric Medicine Podiatrist
—
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
IA
225100000X
Physical Therapist
—
IA
225X00000X
Occupational Therapist
—
IA
363A00000X
Physician Assistant
—
IA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255166
—
IA
05
—
0255182
—
IA
01
—
CQ2071
RR MEDICARE
IA
Enumeration date
05/18/2006
Last updated
08/12/2022
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