Provider First Line Business Practice Location Address:
1111 6TH AVENUE
Provider Second Line Business Practice Location Address:
MERCY MEDICAL CENTER
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-643-8533
Provider Business Practice Location Address Fax Number:
515-643-8911
Provider Enumeration Date:
08/16/2007