Provider First Line Business Practice Location Address:
DES MOINES UNIVERSITY- PA PROGRAM
Provider Second Line Business Practice Location Address:
3200 GRAND AVE.
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-219-0179
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/15/2025