Organization
DUBUQUE RADIOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRBY CLARK M.D. (PRESIDENT)
(563) 556-6895
Entity
Organization
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6392
(563) 582-1881
(563) 589-2491
Mailing address
998 FREMONT AVE STE L5, PO BOX 1655, DUBUQUE, IA 52003-0300
(563) 556-6895
(563) 556-3618
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145417
—
IA
05
—
0147348
—
IA
01
—
04719
WELLMARK OFFICE LOCATION
IA
01
—
30951
WELLMARK FINLEY
IA
05
—
32651500
—
WI
01
—
32663
WELLMARK MAQUOKETA LOCATI
IA
01
—
4323751
BLUE SHIELD
IL
Enumeration date
05/05/2006
Last updated
02/20/2014
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