Organization
DECATUR MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY WAYNE RICHARD M.D. (PRESIDENT)
(641) 446-4863
Entity
Organization
Contact information
Practice address
1404 NW CHURCH ST, LEON, IA 50144-1266
(641) 446-4863
(641) 446-3576
Mailing address
1404 NW CHURCH ST, LEON, IA 50144-1266
(641) 446-4863
(641) 446-3576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200295
—
IA
Enumeration date
03/15/2006
Last updated
08/22/2020
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