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NPI Code Detail

MEDICARE: RICHARD STEVENS DO

MEDICARE: RICHARD STEVENS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramIA

General Provider Information

NPI Number : 1437082971
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD STEVENS DO
Provider Business Mailing Address
First Line : 1111 6TH AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2613
Country : US
Telephone Number : 515-643-2261
Fax Number : 515-643-5802
Provider Business Practice Location Address
First Line : 1111 6TH AVE
Second Line :
City : DES MOINES
State : IA
Zip : 50314-2613
Country : US
Telephone Number : 515-643-2261
Fax Number : 515-643-5802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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Directions to “ RICHARD STEVENS DO” Practice Location

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