Individual
EDUARDO L RICAURTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 UTICA RIDGE RD, BETTENDORF, IA 52722-1644
(563) 355-9996
(563) 355-9997
Mailing address
4480 UTICA RIDGE RD, BETTENDORF, IA 52722-1644
(563) 355-9996
(563) 355-9997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
23724
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104554
—
IA
Enumeration date
01/16/2006
Last updated
11/08/2007
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