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Organization

UROLOGICAL ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID PAUL ROHLF M.D. (PRESIDENT)
(563) 359-1641
Entity
Organization

Contact information

Practice address
3319 SPRING ST STE 202, DAVENPORT, IA 52807-2125
(563) 359-1641
(563) 359-4634
Mailing address
3319 SPRING ST STE 202, DAVENPORT, IA 52807-2125
(563) 359-1641
(563) 359-4634

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073643
IA
01
07364
BLUE CROSS BLUE SHIELD
IA
05
0904060
IA
01
91338
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/11/2006
Last updated
11/13/2023
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