Organization
HEAVY MEDICINE INCORPORATED P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN EVA CHRISTIAN (OFFICE MANAGER)
(515) 262-8707
Entity
Organization
Contact information
Practice address
1300 DES MOINES ST, SUITE 107, DES MOINES, IA 50309-5502
(515) 262-8707
(515) 265-5207
Mailing address
1300 DES MOINES STREET, SUITE 107, DES MOINES, IA 50309-5547
(515) 262-8707
(515) 265-5207
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198085
—
IA
01
—
19808
WELLMARK
IA
Enumeration date
10/12/2006
Last updated
08/31/2010
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