Organization · Type 2 NPI

State University of Iowa

Hematology & Oncology Physician · Des Moines, IA

NPI number 1104295823 Active

Practice location

411 Laurel St, Suite 300A
Des Moines, IA 50314-3017

Call (515) 247-3970 Map

Fax (515) 663-8819

Mailing address

411 Laurel St Ste A300
Des Moines, IA 50314-3030

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

109 other providers at this address

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NPI record

NPI: 1104295823
Entity type: Organization (Type 2)
Issued: Sep 23, 2015
Last updated: Jan 14, 2025
Status: Active

Other names

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Mission Cancer and Blood University of Iowa Health Care · doing business as

Authorized official

Mr. Joe M McKelvey
SR Director of Govt Reimbursement
(319) 467-8549

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104295823

State University of Iowa's National Provider Identifier is 1104295823, issued on Sep 23, 2015. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Des Moines, IA. The record was last updated on Jan 14, 2025.