Individual
ROBERT WAYNE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 EDMUNDSON PL, SUITE 100, COUNCIL BLUFFS, IA 51503-4658
(712) 322-4136
Mailing address
1801 LONGVIEW LOOP, COUNCIL BLUFFS, IA 51503-2446
(712) 323-3004
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A25783
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1286435
—
IA
Enumeration date
07/11/2006
Last updated
07/08/2007
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