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1316038490
RICHARD KENT SCUPHAM
DES MOINES, IA
NPI
1316038490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IA 24041)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- RICHARD KENT SCUPHAM MD
1212 PLEASANT #LL3
DES MOINES, IA 50309-1414
Phone number: 515-241-8866
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Mailing Address
-- RICHARD KENT SCUPHAM MD
1212 PLEASANT #LL3
DES MOINES, IA 50309-1414
Phone number: 515-241-8866
Copy
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