Individual
DR. ROBERT K. DEKOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Mailing address
1825 LOGAN AVE, EMERGENCY DEPARTMENT, WATERLOO, IA 50703-1916
(319) 235-3697
(319) 235-3844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21538
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182121
—
IA
01
—
22454
WELLMARK BC/BS IOWA
IA
01
—
P00207112
RAILROAD MEDICARE
IA
Enumeration date
03/17/2006
Last updated
10/22/2007
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