Des Moines Pediatric & Adolescent Clinic

NPI #1194991109 in Des Moines, Iowa

Provider Information

NPI Number: 1194991109
Entity Type: Organization
Organization Name: Des Moines Pediatric & Adolescent Clinic
Primary Specialty: Pediatrics
Enumeration Date: Apr 30, 2008
Last Updated: Dec 10, 2020

Practice Location

Address: 2301 BEAVER AVE
City: Des Moines
State: Iowa
ZIP Code: 50310-3903
Phone: (515) 255-3181

Authorized Official

Name: ROB FORNOFF, M.D.
Title: OWNER
Phone: (515) 255-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Pediatrics — Pediatrics	363LP0200X
Pediatrics	208000000X	Primary

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