Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA J FEDERLY, M.D.
ActiveTARA J FEDERLY, M.D. is a Allergy healthcare provider located in WEST DES MOINES, Iowa. NPI 1164683835 is currently active in the NPPES registry. Verify at CMS.
Allergy · WEST DES MOINES, IA
Registration Details
- NPI Number
- 1164683835
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2008 (18.138263082646 yrs)
- Last Updated
- Jul 30, 2020
- Licenses
-
R-8408 (IA)39579 (IA)
Practice Information
- Address
-
6800 LAKE DR STE 260WEST DES MOINES, IA, 502662504Browse IA providers · Browse ZIP 50266
- Phone
- 5156305022
- Fax
- 5156305026
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Allergy
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.