Broadlawns Medical Center

NPI #1306068754 in Des Moines, Iowa

Provider Information

NPI Number: 1306068754
Entity Type: Organization
Organization Name: Broadlawns Medical Center
Primary Specialty: Anesthesiology
Enumeration Date: May 3, 2007
Last Updated: Sep 30, 2008

Practice Location

Address: 1801 HICKMAN ROAD
City: Des Moines
State: Iowa
ZIP Code: 50314-1548
Phone: (515) 282-2200

Authorized Official

Name: VINCENT J MANDRACCHIA, DPM
Title: CHIEF MEDICAL OFFICER
Phone: (515) 282-2562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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