Retta E Pelsang in Davenport - Diagnostic Radiology

Retta E Pelsang - NPI 1548220429

Retta E Pelsang is a Diagnostic Radiology in Davenport, Iowa. Retta E Pelsang practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Retta E Pelsang is 1548220429. The last update date is 2007-07-09.

Retta E Pelsang's current location address is 1970 E 53rd St, Davenport, Iowa. You can contact this provider via phone number 5633593949. The mailing address for Retta E Pelsang is 1970 E 53rd St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Retta E Pelsang
Address 1970 E 53rd St, Davenport, Iowa
Phone Number 5633593949
Fax Number
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1548220429
Provider Enumeration Date 2006-03-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1970 E 53rd St
City Davenport
State Iowa (IA)
Post Code 528072710
Phone Number 5633593949
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 28017
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2954 BCBS IA RGPCSC
44976 BCBS IA RGIC LLC
1084871 IA --
4084871 IA --

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FAQs about Retta E Pelsang

What is the unique 10-digit identification code issued to Retta E Pelsang by the Centers for Medicare & Medicaid Services?

The Retta E Pelsang has been assigned the NPI (National Provider Identifier) 1548220429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Retta E Pelsang is located?

The Retta E Pelsang is situated at the following address: 1970 E 53Rd St, Davenport, IA, 528072710.

What is the Retta E Pelsang's specialty and taxonomy code?

The Retta E Pelsang's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

When did the Retta E Pelsang receive its 1548220429?

The Retta E Pelsang was issued its 1548220429 on 2006-03-24, which is the date when the organization was assigned this unique identifier.

When was the information regarding Retta E Pelsang most recently updated?

The details pertaining to the Retta E Pelsang, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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