Individual
GORDON B URBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2140 53RD AVE, BETTENDORF, IA 52722-6279
(563) 421-5700
Mailing address
2140 53RD AVE, BETTENDORF, IA 52722-6279
(563) 421-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28322
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080141225
RR MEDICARE
IA
05
—
1902884786
—
IA
05
—
5064154
—
IA
05
—
6064154
—
IA
Enumeration date
01/03/2006
Last updated
04/23/2021
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