Individual
MR. JAMES DEAN RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000B S MAIN ST, FAIRFIELD, IA 52556-9572
(641) 472-4156
(641) 472-9436
Mailing address
2000B S MAIN ST, PO BOX 1507, FAIRFIELD, IA 52556-9572
(641) 472-4156
(641) 472-9436
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001289
IA
Other
Enumeration date
08/22/2006
Last updated
10/13/2009
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