Individual
DR. JUAN CAMILO MIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1212 PLEASANT ST STE 211, DES MOINES, IA 50309-1411
(515) 875-9770
(515) 875-9771
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19092
FL
208600000X
Surgery Physician
Primary
MD-49649
IA
Other
Enumeration date
06/24/2013
Last updated
12/26/2023
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