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Individual

LEONARD S RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1301 PENN AVE, SUITE 408, DES MOINES, IA 50316
(515) 263-5000
(515) 263-5001
Mailing address
1301 PENN AVE, SUITE 408, DES MOINES, IA 50316-2350
(515) 263-5000
(515) 263-5001

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
02728
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122267
IA
01
120002172
RR MEDICARE
IA
05
1548249311
IA
Enumeration date
01/11/2006
Last updated
09/06/2018
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