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Organization

DAVIS RADIOLOGY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN W DAVIS M.D. (PRESIDENT)
(319) 385-6158
Entity
Organization

Contact information

Practice address
407 S WHITE ST, MT PLEASANT, IA 52641-2262
(319) 385-6158
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139907
IA
01
54495
BCBS OF IOWA
01
CC2256
RAILROAD MEDICARE
Enumeration date
03/23/2006
Last updated
08/22/2020
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