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Individual

ELIZABETH JOY DUPIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2015 W 5TH ST, STORM LAKE, IA 50588-3000
(712) 732-6650
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-5640
(515) 282-2332

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-45099
IA
207Q00000X
Family Medicine Physician
R-10563
IA

Other

Enumeration date
06/10/2016
Last updated
01/14/2020
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