Individual
DR. TERRI L PLUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1535
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34005810P
OH
207Q00000X
Family Medicine Physician
Primary
3746
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0744359
—
IA
05
—
1306827530
—
IA
Enumeration date
11/05/2005
Last updated
12/26/2012
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