Organization
STADIA SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD THOMAS CARLSON M.D. (CEO, STADIA SPORTS MEDICINE)
(515) 221-1102
Entity
Organization
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 250, WEST DES MOINES, IA 50266-8203
(515) 221-1102
(515) 221-1272
Mailing address
6000 UNIVERSITY AVE, SUITE 250, WEST DES MOINES, IA 50266
(515) 221-1102
(515) 221-1272
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
36501
IA
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/12/2006
Last updated
08/16/2017
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