Individual
MR. JEFFREY LEE RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 10TH ST SE STE 140, CEDAR RAPIDS, IA 52403-2432
(319) 398-1545
(319) 399-2039
Mailing address
202 10TH ST SE, SUITE 140, CEDAR RAPIDS, IA 52403
(319) 398-1545
(319) 399-2039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42005
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34001700
—
WI
Enumeration date
08/26/2006
Last updated
07/31/2017
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