NPI 1063704906

Occupational Medicine Plus, PC

Organisation Occupational Medicine Physician Clive, IA

Practice location

Address: 12871 University Ave Suite 130, Clive, IA 50325-8255
Phone: (515) 222-4419
Fax: (515) 222-6965
Mailing address: 2213 Grand Ave, Des Moines, IA 50312-5305

Authorised official

Name: Daniel C Miller
Title: President
Phone: (515) 222-4419

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X

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Registry record

NPI: 1063704906
Entity type: Organization
NPI issued: 11 May 2011
Record last updated: 11 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.