Individual
JOHN PAIVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S WHITE ST, MT PLEASANT, IA 52641-2600
(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
34389
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0247700
—
IA
01
—
43581
BCBS OF IOWA
—
Enumeration date
03/27/2006
Last updated
07/08/2007
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