Federly, Tara J

Federly, Tara J is an individual health care provider with primary practice located at 6800 Lake Dr Ste 260 , West Des Moines IA 50266-2504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is her primary health care specialty. Federly, Tara J can be contacted via phone (515) 630-5022.

Contact Information

Primary practice address
6800 Lake Dr Ste 260 West Des Moines IA 50266-2504
Phone: (515) 630-5022
Fax: (515) 630-5026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R-8408 Iowa
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 39579 Iowa

Profile Details

NPI number 1164683835
LBN Legal business name Federly, Tara J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Jul 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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