Individual
GARRETT RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-2682
(515) 643-5802
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-2682
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
U2741
TX
207Q00000X
Family Medicine Physician
R-11438
IA
Other
Enumeration date
04/22/2019
Last updated
10/23/2023
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