Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD-45100 | IA |
NPI | 1447519038 |
---|---|
Provider Name | Erin Richardson |
First Address | Des Moines, IA 50309-1406 |
Second Address | Des Moines, IA 50309-1416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 12/08/2018 |