Organization
PET CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. EDWARD BROWN (CHIEF EXECUTIVE OFFICER)
(515) 875-9100
Entity
Organization
Contact information
Practice address
1221 PLEASANT ST, STE 150A, DES MOINES, IA 50309
(515) 244-5109
(515) 241-3505
Mailing address
7147 VISTA DR STE 160, WEST DES MOINES, IA 50266-9313
(515) 875-9924
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
08/29/2005
Last updated
06/21/2018
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