Individual
DR. JEFFREY ALLEN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1601 NW 114TH ST, CLIVE, IA 50325-7007
(515) 222-7000
(515) 222-7037
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 222-7000
(515) 222-7037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04838
IA
207Q00000X
Family Medicine Physician
R-9695
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-9695
RESIDENCY LICENSE
IA
Enumeration date
06/27/2013
Last updated
03/01/2022
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