Provider Demographics
NPI:1235947979
Name:THE IOWA CLINIC PC
Entity type:Organization
Organization Name:THE IOWA CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CHAIR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARP
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:515-875-9876
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50302-0424
Mailing Address - Country:US
Mailing Address - Phone:515-875-9255
Mailing Address - Fax:515-875-9223
Practice Address - Street 1:5950 UNIVERSITY AVE STE 385
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8289
Practice Address - Country:US
Practice Address - Phone:515-875-9706
Practice Address - Fax:515-875-9707
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE IOWA CLINIC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies