Individual
PAUL E.L. RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3410 KIMBALL AVE, WATERLOO, IA 50702-5735
(319) 234-2649
(319) 233-2430
Mailing address
3410 KIMBALL AVE, WATERLOO, IA 50702-5735
(319) 234-2649
(319) 233-2430
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35033
IA
208800000X
Urology Physician
78018
MN
208800000X
Urology Physician
MD489293C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0289181
—
IA
01
—
168627
COVENTRY HMO
IA
01
—
34082
BCBS OF IOWA
IA
01
—
421014941-22
JOHN DEERE
IA
01
—
P00050800
RAILROAD MEDICARE
IA
Enumeration date
10/24/2005
Last updated
06/06/2025
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