Organization
PREVENTATIVE HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA RENEE WHETRO DO (MED DIRECTOR)
(515) 225-2578
Entity
Organization
Contact information
Practice address
2480 BERKSHIRE PKWY, CLIVE, IA 50325-4678
(515) 225-2578
(515) 225-2598
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
007026
IA
207Q00000X
Family Medicine Physician
Primary
03475
IA
363A00000X
Physician Assistant
001132
IA
Other
Enumeration date
03/13/2008
Last updated
12/02/2008
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