Organization · Type 2 NPI

Grand View University

Pediatric Adolescent Medicine Physician · Des Moine, IA

NPI number 1861908089 Active

Practice location

1200 Grandview Ave, Johnson Wellness Center
Des Moine, IA 50316-1529

Mailing address

5050 Spring Valley Rd
Dallas, TX 75244-3995

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X23873 (IA)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

9 other providers at this address

About NPI 1861908089

Grand View University's National Provider Identifier is 1861908089, issued on Dec 26, 2017. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Des Moine, IA. The record was last updated on Dec 26, 2017.