MARY RISVOLD

WATERLOO, IA
NPI1346322559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: AK  5124)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IA  37737)
Enumeration Date2006-10-19
Last Update Date2022-04-15
Business Address
MARY RISVOLD M.D.
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-3941
Mailing Address
MARY RISVOLD M.D.
PO BOX 100216
ANCHORAGE, AK 99510-0216
Phone number: 907-529-1898