Individual
DR. JAMES W ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30070
AZ
207Y00000X
Otolaryngology Physician
Primary
22390
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119430
HEALTH ALLIANCE
—
01
—
25761
WELLMARK BC/BS
IA
01
—
4439
MIDLANDS CHOICE
—
05
—
6193573
—
IA
05
—
702838
—
AZ
01
—
IA01C2
JOHN DEERE HEALTH
—
Enumeration date
05/23/2005
Last updated
09/02/2009
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