NPI | 1699067397 |
---|---|
Doing Business As | MERCYONE DES MOINES PLASTIC & RECONSTRUCTIVE SURGERY |
Entity Type | Organization |
Authorized Contact | BRADLEY WHIPPLE Chief Operating Officer 515-358-6956 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 2086S0122X Surgery Plastic and Reconstructive Surgery |
363A00000X Physician Assistant | |
Enumeration Date | 2011-05-12 |
Last Update Date | 2024-10-11 |