Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | AO5141 | IA |
N | 175F00000X | Naturopath |
NPI | 1003952953 |
---|---|
Provider Name | Dr. Richard Leroy Pflepsen |
First Address | Clarksville, IA 50619-0186 |
Second Address | Clarksville, IA 50619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
131916 | UNITED HEALTH CARE (01) | IA |
14249 | BLUE CROSS BLUE SHIELD (01) | IA |
251224 | MIDLANDS CHOICE (01) | IA |
276993 | COVENTRY (01) | IA |