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Contact Information

GENESIS HEALTH SYSTEM
2222 53RD AVE
BETTENDORF, IA52722-7546
 Phone: 563-383-2686
 Fax: 563-383-2572
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GENESIS HEALTH SYSTEM · (Female)

NPI Number 1518198324
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2009
Last updated 07/29/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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