Individual
DR. RONALD R. CHILDERSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 621-2335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3599
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561530
—
IA
05
—
2561530
—
IA
01
—
P00310643
RAILROAD MEDICARE
IA
Enumeration date
01/20/2006
Last updated
08/30/2022
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