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1710935804
RICHARD DOUGLAS
DES MOINES, IA
NPI
1710935804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: IA 1582)
Enumeration Date
2006-05-04
Last Update Date
2010-07-09
Business Address
RICHARD DOUGLAS PA-C
3600 30TH ST PRIMARY CARE
DES MOINES, IA 50310-5876
Phone number: 515-699-5999
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Mailing Address
RICHARD DOUGLAS PA-C
3600 30TH ST PRIMARY CARE
DES MOINES, IA 50310-5876
Phone number: 515-699-5999
Copy
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