Capital Orthopaedics and Sports Medicine PC

NPI #1932432457 in Clive, Iowa

Provider Information

NPI Number: 1932432457
Entity Type: Organization
Organization Name: Capital Orthopaedics and Sports Medicine PC
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Sep 16, 2009
Last Updated: Jan 22, 2013

Practice Location

Address: 12499 UNIVERSITY AVE
Address 2: SUITE 210
City: Clive
State: Iowa
ZIP Code: 50325-8281
Phone: (515) 440-2676

Authorized Official

Name: DR. WILLIAM CHARLES JACOBSON, MD
Title: SHAREHOLDER
Phone: (515) 440-2676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery - Hand Surgery — Hand Surgery	207XS0106X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X
Orthopaedic Surgery - Sports Medicine — Sports Medicine	207XX0005X
Physical Medicine & Rehabilitation	208100000X
Surgery - Surgery of the Hand — Surgery of the Hand	2086S0105X
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Orthopaedic Surgery	207X00000X	Primary

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