JUAN CAMILO MIRA

DES MOINES, IA
NPI1902245806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: IA  MD-49649)
Additional Taxonomies208600000X Surgery
(Licence: FL  19092)
Enumeration Date2013-06-24
Last Update Date2023-12-26
Business Address
Dr. JUAN CAMILO MIRA M.D.
1212 PLEASANT ST STE 211
DES MOINES, IA 50309-1411
Phone number: 515-875-9770
Mailing Address
Dr. JUAN CAMILO MIRA M.D.
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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