La Clinica Medica Latina of Des Moines LLC
NPI #1306965348 in Des Moines, Iowa
Provider Information
- NPI Number
- 1306965348
- Entity Type
- Organization
- Organization Name
- La Clinica Medica Latina of Des Moines LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Mar 23, 2011
Practice Location
- Address
- 1300 DES MOINES ST
- Address 2
- SUITE 106
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50309-5502
- Phone
- (515) 265-8200
Authorized Official
- Name
- AVA EAGLES, ARNP
- Title
- CLINIC OPERATIONS MGR CO OWNER
- Phone
- (515) 265-8200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Nurse Practitioner |
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