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1972244655
JACKSON ROYAL RICHARDS
IOWA CITY, IA
NPI
1972244655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA R-12525)
Enumeration Date
2022-04-05
Last Update Date
2022-06-14
Business Address
JACKSON ROYAL RICHARDS MD, PhD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1616
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Mailing Address
JACKSON ROYAL RICHARDS MD, PhD
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-1373
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