Individual
JOHN B. DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5515 UTICA RIDGE RD, SUITE 600, DAVENPORT, IA 52807-3928
(563) 344-1050
(563) 424-4579
Mailing address
5515 UTICA RIDGE RD, SUITE 600, DAVENPORT, IA 52807-3928
(563) 344-1050
(563) 424-4579
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
25065
IA
174400000X
Specialist
25065
IA
207L00000X
Anesthesiology Physician
25065
IA
208VP0000X
Pain Medicine Physician
Primary
25065
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0048314
—
IA
Enumeration date
04/28/2006
Last updated
06/28/2021
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