NPI 1164683835

Tara J Federly, MD

Practitioner Allergy Physician West Des Moines, IA

Practice location

Address: 6800 Lake Dr STE 260, West Des Moines, IA 50266-2504
Phone: (515) 630-5022
Fax: (515) 630-5026

Registered specialties (2)

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence 39579 (IA)

Other Allergy & Immunology providers in Iowa →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence R-8408 (IA)

Other Pediatrics providers in Iowa →

Registry record

NPI: 1164683835
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jun 2008
Record last updated: 30 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.