Individual
RHONDA JO SOWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1807 1ST ST, COAL VALLEY, IL 61240-9347
(309) 256-8597
Mailing address
1807 1ST ST, COAL VALLEY, IL 61240-9347
(309) 256-8597
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36437
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01071
WELLMARK BCBS
IA
01
—
36437
STATE MEDICAL LICENSE
IA
01
—
P00411063
RAILROAD MEDICARE
IA
01
—
P00616056
RR MEDICARE
IA
Enumeration date
07/27/2006
Last updated
10/03/2008
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