Organization
MERCY CLINICS INC
Active
Other names
MercyOne Des Moines Pediatrics Care Clinc, MercyOne Waukee Pediatrics Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WHIPPLE (COO)
(515) 358-6956
Entity
Organization
Contact information
Practice address
330 LAUREL ST, SUITE 2100, DES MOINES, IA 50314-3034
(515) 643-8611
(515) 643-8812
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-4374
(515) 643-2784
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236174
—
IA
Enumeration date
11/09/2007
Last updated
10/11/2024
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