Provider Demographics
NPI:1538698501
Name:STRUBLE, ROGER DANIEL JR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:DANIEL
Last Name:STRUBLE
Suffix:JR
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-2732
Mailing Address - Fax:319-384-8955
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-2732
Practice Address - Fax:319-384-8955
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-47529207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine