Provider First Line Business Practice Location Address:
2508 E UNIVERSITY AVE
Provider Second Line Business Practice Location Address:
BROADLAWNS EAST UNIVERSITY CLINIC
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50317-5313
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-282-3278
Provider Business Practice Location Address Fax Number:
515-282-5354
Provider Enumeration Date:
08/11/2006