NPI 1760434658
Genesis Health System
Practice location
- Address
- 1351 W Central Park Ave 420, Davenport, IA 52804-1853
- Phone
- (563) 421-4380
- Fax
- (563) 421-4389
- Mailing address
- PO Box 310102, Des Moines, IA 50331-0001
Authorised official
- Name
- Mark G. Rogers
- Title
- Vice President of Finance
- Phone
- (563) 421-6513
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1760434658
- Entity type
- Organization
- NPI issued
- 17 May 2006
- Record last updated
- 27 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.