Organization
INTERVENTIONAL ORTHOPEDIC GROUP LLC
Active
Organization
INTERVENTIONAL ORTHOPEDIC GROUP LLC
Active
Other names
Regenexx Des Moines
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN BUSS (GENERAL MANAGER)
(215) 840-0237
Entity
Organization
Contact information
Practice address
6151 THORNTON AVE STE 200, DES MOINES, IA 50321-2413
(515) 421-4090
(402) 939-0407
Mailing address
6151 THORNTON AVE STE 200, DES MOINES, IA 50321-2413
(515) 421-4090
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659590735
NPI
—
01
—
20155
MEDICARE
—
01
—
56568
MEDICARE
—
Enumeration date
06/30/2021
Last updated
06/30/2021
Update your record
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