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Individual

DR. ASHLEY MARIE DIKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M

Contact information

Practice address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731
Mailing address
3200 GRAND AVE, DES MOINES, IA 50312-4104
(515) 271-1731

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
779
TN
213E00000X
Podiatrist
Primary
99475
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538423181
IOWA MEDICAID
IA
05
Q018960
TN
Enumeration date
06/28/2012
Last updated
06/09/2022
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