Individual
DR. LARRY WAYNE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Mailing address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20202
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3209254
—
IA
Enumeration date
03/09/2006
Last updated
05/17/2011
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