Individual
ROBERT N FEDERHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2710 SAINT FRANCIS DR, SUITE 410, WATERLOO, IA 50702-5619
(319) 272-5000
(319) 272-5264
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
02706
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982926
—
IA
Enumeration date
06/08/2006
Last updated
07/13/2007
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