Individual
STANLEY K ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6914 NOTTINGHAM LN, BETTENDORF, IA 52722-9705
(563) 940-8488
Mailing address
6914 NOTTINGHAM LN, BETTENDORF, IA 52722-9705
(563) 940-8488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01934
IA
207Q00000X
Family Medicine Physician
54416
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034794
HEALTH ALLIANCE
—
05
—
036071097
—
IL
01
—
19886
IOWA HEALTH SOLUTIONS
—
01
—
40207
WELLMARK BC/BS
—
05
—
4033811
—
IA
01
—
4796890009
DMERC
—
01
—
IA0152
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/22/2005
Last updated
12/04/2014
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