Individual
DR. RICHARD DALE BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
(319) 293-3473
Mailing address
304 FRANKLIN ST, KEOSAUQUA, IA 52565-1164
(319) 293-3171
(319) 293-3473
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01560
IA
Other
Enumeration date
06/21/2006
Last updated
12/28/2007
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