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Timothy Doman, DO

Student in an Organized Health Care Education/Training Program in Des Moines, IA. Individual provider (NPI-1).

NPI number1063200780
StatusActive
Last updated in NPPESApr 30, 2025

Details

NPI
1063200780
Entity type
Individual (NPI-1)
Name
Timothy Doman
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 30, 2025
Certification date
Apr 30, 2025
Last updated
Apr 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1801 Hickman Rd
Des Moines, IA 50314-1597

Phone 515-282-5640

Mailing address

400 E Locust St Unit 217
Des Moines, IA 50309-1936

Phone 248-251-6749

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