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Organization

SOMA, LLC

Active
Other names
SOMA Cosmetic Surgery & Aesthetics
Organization subpart
No

Provider details

NPI number
Authorized official
HARRY M CONDOLEON DO (OWNER/COSMETIC SURGEON)
(515) 320-0916
Entity
Organization

Contact information

Practice address
12107 STRATFORD DR, CLIVE, IA 50325-8146
(515) 395-7661
(515) 395-7663
Mailing address
12107 STRATFORD DR, CLIVE, IA 50325-8146
(515) 395-7661
(515) 395-7663

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
11/19/2025
Last updated
11/19/2025
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