Individual
DAVID W.R. DIERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-7701
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(602) 770-4373
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4042
IA
207P00000X
Emergency Medicine Physician
R-8344
IA
Other
Enumeration date
05/29/2008
Last updated
04/12/2021
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