Individual
DR. JESSICA A DEDECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 PLEASANT ST STE 400, DES MOINES, IA 50309-1406
(515) 241-6212
Mailing address
1200 PLEASANT ST STE 400, DES MOINES, IA 50309-1406
(515) 241-4019
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO-05139
IA
207R00000X
Internal Medicine Physician
DR.0060326
CO
207R00000X
Internal Medicine Physician
R-10307
IA
Other
Enumeration date
06/25/2015
Last updated
12/16/2020
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