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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