Organization
DPMMODLINPRIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RAY MODLIN DPM (OWNER)
(515) 244-0633
Entity
Organization
Contact information
Practice address
1111 E ARMY POST RD, SUITE 470, DES MOINES, IA 50315-5970
(515) 244-0633
(515) 244-2412
Mailing address
1111 E ARMY POST RD, SUITE 470, DES MOINES, IA 50315-5970
(515) 244-0633
(515) 244-2412
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
073866
IA
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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