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Jerome R. Greenberg, O.d., P.c.
Clinic/Center in Des Moines, Iowa
NPI 1326294463

Jerome R. Greenberg, O.d., P.c. is a Clinic/Center based in Des Moines, IA. Jerome R. Greenberg, O.d., P.c. practices in Des Moines, IA. The NPI Number for Jerome R. Greenberg, O.d., P.c. is 1326294463 and holds a License No. 01709 (Iowa).

The current practice location address for Jerome R. Greenberg, O.d., P.c. is 1242 E 14Th St, Des Moines, IA and can be reached out via phone at 515-263-0295 and via fax at 515-263-0115.

Location: 1242 E 14Th St, Des Moines, IA, 50316-2402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326294463
Provider Name
Jerome R. Greenberg, O.d., P.c.
Credential
Provider Entity Type
Organization
Address
1242 E 14Th St, Des Moines, IA, 50316-2402
Phone Number
515-263-0295
Fax Number
515-263-0115
Provider Enumeration Date
08/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17996 01 IA FIRST ADMINISTRATORS
17996 01 IA MUTUAL OF OMAHA
6155 01 IA MIDLANDS CHOICE
0000 01 IA TRIWEST
81376 01 IA COVENTRY HEALTHCARE
0005314 05 IA
17996 01 IA WELLMARK BLUE SHIELD
IA0101 01 IA UNITED HEALTHCARE OF THE RIVER VALLEY
81376 01 IA COVENTRY ADVANTRA
410020694 01 IA RAILROAD MEDICARE
81376 01 IA ADVANTRA FREEDOM
institution
Provider Business Practice Location Address Details
Address
1242 E 14Th St
City
Des Moines
State
Iowa
Zip
50316-2402
Phone Number
515-263-0295
Fax Number
515-263-0115
person
Provider Business Mailing Address Details
Address
1242 E 14Th St
City
Des Moines
State
Iowa
Zip
50316-2402
Phone Number
515-263-0295
Fax Number
515-263-0115
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
01709 (Iowa)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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