Individual
RON ALLEN SHIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Mailing address
2901 86TH ST, URBANDALE, IA 50322-4201
(515) 276-3406
(515) 276-5141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01540
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609837806
—
IA
05
—
2113928
—
IA
Enumeration date
03/29/2006
Last updated
08/15/2012
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