Organization
DES MOINES CARDIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN P LATCHAM MD, FACC (OWNER)
(515) 528-8186
Entity
Organization
Contact information
Practice address
1540 HIGH ST, SUITE 102, DES MOINES, IA 50309-3106
(515) 528-8186
(515) 528-8160
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548551237
—
IA
Enumeration date
04/28/2011
Last updated
05/21/2013
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