Organization
CHARLES F DENHART MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FORD DENHART M.D. (PRESIDENT)
(515) 283-1570
Entity
Organization
Contact information
Practice address
2600 GRAND AVE, SUITE 102, DES MOINES, IA 50312-5375
(515) 283-1570
(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
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IA
2083X0100X
Occupational Medicine Physician
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5301879
—
IA
05
—
6301879
—
IA
05
—
7301879
—
IA
01
—
DH0033
RAILROAD MEDICARE
IA
Enumeration date
05/18/2006
Last updated
03/23/2011
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