Individual
RICARDO ANDREOTTI BODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1350 DES MOINES ST STE 110, DES MOINES, IA 50309-5507
(515) 643-0833
(515) 643-0933
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-0833
(515) 643-0933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
109562
IA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/22/2020
Last updated
11/21/2021
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