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Organization

DIAGNOSTIC IMAGING OF IOWA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA ANN KIMBALL M.D. (PRESIDENT AND CEO)
(515) 237-3974
Entity
Organization

Contact information

Practice address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0246728
IA
Enumeration date
05/18/2006
Last updated
05/30/2008
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