Individual
MARY A RADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8421 PLUM DR, DES MOINES, IA 50322-7356
(515) 643-9699
(515) 643-9698
Mailing address
8421 PLUM DR, URBANDALE, IA 50322-7356
(515) 270-7222
(515) 270-7202
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01959
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5030650
—
IA
Enumeration date
08/20/2006
Last updated
08/05/2020
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