Individual
DR. ROBERT ANSLEY ROOF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3421 WEST 9TH ST, WATERLOO, IA 50702
(800) 458-5003
Mailing address
20706 247TH ST, DELHI, IA 52223-8416
(563) 927-5529
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02246
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164526349
BLUE SHIELD
IA
05
—
1164526349
—
IA
Enumeration date
09/11/2006
Last updated
08/19/2009
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