Individual
ROBERT C DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 E 53RD ST, DAVENPORT, IA 52807-2710
(563) 359-3949
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
28801
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114868
—
IA
01
—
20789
BCBS OF IOWA W/ ORA
IA
01
—
300055679
RR MDC WITH RGPCSC
—
01
—
300123177
RAILROAD MEDICARE W/ ORA
IA
01
—
300132296
RR MDC WITH RGIC LLC
—
01
—
3114868
MEDICAID IOWA W/ ORA
IA
01
—
51337
BCBS IA WITH RGPCSC
—
01
—
51480
BCBS IA WITH RGIC LLC
—
05
—
6114868
—
IA
01
—
K51234
MEDICARE ORA ILLINOIS
IA
Enumeration date
03/28/2006
Last updated
05/05/2021
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