Organization
GENESIS HEALTH SYSTEM
Active
Other names
Genesis Health Group Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G. ROGERS (VP OF FINANCE)
(563) 421-4175
Entity
Organization
Contact information
Practice address
855 ILLINI DR STE 401, SILVIS, IL 61282-2904
(309) 792-6355
(309) 792-6583
Mailing address
865 LINCOLN RD STE L10, BETTENDORF, IA 52722-4159
(563) 355-9200
(563) 355-3419
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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