Individual
DANIEL DIMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 LAUREL ST, SUITE 1200, DES MOINES, IA 50314-3034
(515) 643-5454
(515) 643-5460
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 643-5454
(515) 643-5460
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
35841
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462416
—
IA
01
—
39340
WELLMARK
IA
Enumeration date
08/31/2006
Last updated
02/14/2014
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