Douglas Dimig
Specialist/Technologist, Athletic Trainer in Des Moines, IA. Individual provider (NPI-1).
NPI number1639611361
StatusActive
Last updated in NPPESNov 11, 2016
Details
- NPI
- 1639611361
- Entity type
- Individual (NPI-1)
- Name
- Douglas Dimig
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 11, 2016
- Last updated
- Nov 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 001221 | IA | Yes |
Practice location
450 Laurel StDes Moines, IA 50314-3045
Phone 515-323-6485
Mailing address
450 Laurel StDes Moines, IA 50314-3045
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