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1124018999
PAUL E.L. RICHARDSON
WATERLOO, IA
NPI
1124018999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: IA 35033)
Additional Taxonomies
208800000X Urology
(Licence: MN 78018)
Enumeration Date
2005-10-24
Last Update Date
2024-11-01
Business Address
PAUL E.L. RICHARDSON M.D.
3410 KIMBALL AVE
WATERLOO, IA 50702-5735
Phone number: 319-234-2649
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Mailing Address
PAUL E.L. RICHARDSON M.D.
3410 KIMBALL AVE
WATERLOO, IA 50702-5735
Phone number: 319-234-2649
Copy
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