Individual
DR. RODNEY A SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 E 56TH ST, SUITE 100, DAVENPORT, IA 52807-2995
(563) 383-2667
(563) 383-2672
Mailing address
4700 E 56TH ST, SUITE 100, DAVENPORT, IA 52807-2995
(563) 383-2667
(563) 383-2672
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
33943
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1244830
—
IA
01
—
130024939
RAILROAD MEDICARE
—
01
—
1874249
UNITED HEALTHCARE
—
01
—
44939
WELLMARK
—
01
—
IA0113
JOHN DEERE HEALTHCARE
—
Enumeration date
12/30/2005
Last updated
04/20/2021
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