DR. JEFFREY L. KOENEN, PC
Ambulatory Health at Grand Ave, Des Moines, IA

License number
Iowa IA2072
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JEFFREY L. KOENEN OD
Title: OPTOMETRIST/OWNER
Phone: (515) 244-7393
Address
Address
801 Grand Ave STE 350, Des Moines, IA 50309
National Provider ID: 1851545800
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. JEFFREY L. KOENEN, PC

801 Grand Ave STE #350, Des Moines, IA

Doing business as:
801 Eye Care Center<br>Dr Jeffrey L Koenen PC
Registration:
Jun 26, 2001
Phone:
(515) 244-7393 (Phone), (515) 244-2343 (Fax)
State ID:
254502
Business type:
C Domestic Professional
Expiration:
Perpetual
President:
Dr Jeffrey Koenen Od (President)
Agent:
Dr Jeffrey L Koenen ,801 Grand Ave STE 350, Des Moines, IA (Physical)

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