Individual
RODNEY BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E UNIVERSITY AVE, DES MOINES, IA 50316-2302
(847) 615-2200
(847) 615-2858
Mailing address
PO BOX 675, ANKENY, IA 50021-0675
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34269
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1139329
—
IA
01
—
57946
WELLMARK
IA
Enumeration date
05/16/2006
Last updated
10/17/2007
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