Individual
DR. RICHARD SIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 PLEASANT ST, SUITE 211, DES MOINES, IA 50309
(515) 875-9770
(515) 875-9771
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-32345
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2170316
—
IA
Enumeration date
09/14/2005
Last updated
01/11/2024
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