Organization
TRAUMA PHYSICIANS SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIE MCCLAIREN JR. (PRESIDENT & CEO)
(515) 244-9950
Entity
Organization
Contact information
Practice address
315 UNIVERSITY AVE, DES MOINES, IA 50314-3126
(515) 244-9950
Mailing address
315 UNIVERSITY AVE, DES MOINES, IA 50314-3126
(515) 244-9950
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170332
—
IA
01
—
44182
WELLMARK OF IOWA
IA
Enumeration date
12/05/2006
Last updated
06/10/2015
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