Organization
IOWA SPINE CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J. MCGUIRE M.D. (PRESIDENT CEO)
(515) 237-3974
Entity
Organization
Contact information
Practice address
623 E 12TH ST, DES MOINES, IA 50309-5515
(515) 288-6325
(515) 288-6060
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932152865
MEDICAID
IA
01
—
DB6815
RAILROAD MEDICARE
IA
Enumeration date
05/19/2006
Last updated
08/11/2016
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