Organization
MERCY RADIOLOGISTS OF DUBUQUE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MICHAEL CLIFFORD M.D. (PRESIDENT)
(563) 589-8796
Entity
Organization
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
(563) 589-8776
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8796
(563) 589-8776
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129627
—
IA
01
—
12962
WELLMARK BLUE CROSS BLUE
IA
05
—
32694100
—
WI
Enumeration date
05/13/2006
Last updated
12/11/2007
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