Tara J Federly
Pediatrician Allergist
6800 Lake Dr Ste 260
West Des Moines
, Iowa 50266-2504
Tara J Federly
Pediatrician Allergist
6800 Lake Dr Ste 260
West Des Moines
, Iowa 50266-2504
(515) 630-5026
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About
Features
Specialties
- Allergist
- Pediatrician
Languages spoken
- English
Location
First Address
- Tara J Federly
- 6800 Lake Dr Ste 260
- West Des Moines, IA
- Zip : 50266-2504
- Fax : (515) 630-5026
- Phone : (515) 630-5022
Second Address
- Tara J Federly
- 6800 Lake Dr Ste 260
- West Des Moines, IA
- Zip : 50266-2504
- Fax : (515) 630-5026
- Phone : (515) 630-5022
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Is Tara J Federly a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207KA0200X | Allergist | 39579 | IA |
| N | 208000000X | Pediatrician | R-8408 | IA |
National Provider Identifier
| NPI | 1164683835 |
|---|---|
| Provider Name | Tara J Federly |
| First Address | West Des Moines, IA 50266-2504 |
| Second Address | West Des Moines, IA 50266-2504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2008 |
| Last Update Date | 30/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.