Provider First Line Business Practice Location Address:
1215 PLEASANT STREET SUITE 300
Provider Second Line Business Practice Location Address:
BLANK CHILDREN'S HEALTH CENTER II
Provider Business Practice Location Address City Name:
DES MOINES
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-241-6500
Provider Business Practice Location Address Fax Number:
515-241-8911
Provider Enumeration Date:
12/08/2006