Organization
GENESIS HEALTH SYSTEM
Active
Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Pediatric Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK G. ROGERS MD (VP OF FINANCE, CFO)
(563) 421-6513
Entity
Organization
Contact information
Practice address
2222 53RD AVE, BETTENDORF, IA 52722-7546
(563) 383-2686
(563) 383-2572
Mailing address
865 LINCOLN RD, STE. L10, BETTENDORF, IA 52722-4190
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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