Provider Demographics
NPI:1619197464
Name:ISAAK, ROBERT JOHN (MD, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOHN
Last Name:ISAAK
Suffix:
Gender:M
Credentials:MD, PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1221 PLEASANT ST
Mailing Address - Street 2:SUITET A100
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1428
Mailing Address - Country:US
Mailing Address - Phone:515-241-4330
Mailing Address - Fax:515-241-4363
Practice Address - Street 1:1221 PLEASANT ST
Practice Address - Street 2:SUITET A100
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1428
Practice Address - Country:US
Practice Address - Phone:515-241-4330
Practice Address - Fax:515-241-4363
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010843032085R0001X
IA377092085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology