Individual provider · Type 1 NPI

Richard Douglas, PA-C

Medical Physician Assistant · Des Moines, IA

NPI number 1710935804 Active

Practice location

3600 30th St, Primary Care
Des Moines, IA 50310-5876

Call (515) 699-5999 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1582 (IA)

Medical Physician Assistant: Definition to come...

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About NPI 1710935804

Richard Douglas, PA-C's National Provider Identifier is 1710935804, issued on May 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Des Moines, IA. The record was last updated on Jul 9, 2010.