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NPI Code Detail

MEDICARE: DR. DONNA J DELOUIS DO

MEDICARE: DR. DONNA J DELOUIS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02217IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194723098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONNA J DELOUIS DO
Provider Business Mailing Address
First Line : 4116 UNIVERSITY AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50311-3533
Country : US
Telephone Number : 515-274-1518
Fax Number : 515-274-6916
Provider Business Practice Location Address
First Line : 4116 UNIVERSITY AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50311-3533
Country : US
Telephone Number : 515-274-1518
Fax Number : 515-274-6916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DONNA J DELOUIS DO” Practice Location

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