| NPI | 1104879576 |
|---|---|
| Doing Business As | EAST DES MOINES FAMILY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J DEWERFF CFO 515-241-6507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 1041C0700X Social Worker, Clinical | |
| 207V00000X Obstetrics & Gynecology | |
| 2085R0001X Radiology, Radiation Oncology | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-03-19 |