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Organization

DIAGNOSTIC CLINIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH GEORGE SCHUPP III M.D. (PRESIDENT)
(515) 243-6151
Entity
Organization

Contact information

Practice address
2515 GRAND AVE, DES MOINES, IA 50312-5311
(515) 243-6151
(515) 243-6153
Mailing address
2515 GRAND AVE, DES MOINES, IA 50312-5311
(515) 243-6151
(515) 243-6153

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0191114
IA
Enumeration date
12/27/2006
Last updated
08/22/2020
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