Individual
JEFFREY C GOREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Mailing address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31634
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15855
BCBS IA RGPCSC
—
01
—
20788
MEDICARE W/ ORA
IA
01
—
300110570
RR MDC RGPCSC
—
01
—
300125724
RAILROAD MEDICARE W/ ORA
IA
01
—
300132304
RRMDC RGICLLC
—
05
—
3174797
—
IA
01
—
4174797
MEDICAID IOWA W/ ORA
IA
01
—
44975
BCBS IA RGIC LLC
—
05
—
7174797
—
IA
01
—
K51231
MEDICARE ORA ILLINOIS
IA
Enumeration date
03/24/2006
Last updated
04/12/2021
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