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Individual

DR. DETLEF JAMES MALTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
6000 UNIVERSITY AVE STE 250, WEST DES MOINES, IA 50266-8206
(515) 221-1102
(515) 221-1272
Mailing address
6000 UNIVERSITY AVE STE 250, WEST DES MOINES, IA 50266-8206
(515) 221-1102
(515) 221-1272

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
004685
IA

Other

Enumeration date
01/11/2011
Last updated
01/11/2011
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