17 11 JE 2060 NPI 1457217390

NPI Information

  • NPI: 1457217390
  • Provider Name: 17 11 JE 2060
  • Classification: Specialist - 1744R1102X
  • Specialization: Research Study
  • Entity Type: Organization
  • Address: 1444 E WALNUT ST APT 18
    DES MOINES, IA
    ZIP 50316
  • Phone: (515) 802-7198

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NPI Details

17 11 JE 2060 is a research study specialist in Des Moines, IA. 17 11 JE 2060 NPI is 1457217390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1444 E WALNUT ST APT 18
DES MOINES, IA
ZIP 50316-828
Phone: (515) 802-7198

The provider's authorized official is Johnnie C Campbell .
The authorized official title is President/founder and has the following contact phone number (515) 802-7198.

The enumeration date for this NPI number is 1/3/2026 and was last updated on 1/3/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744R1102XSpecialistResearch StudyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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