Provider Demographics
NPI:1922048529
Name:PAGE, CURTIS ELLIOTT (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:ELLIOTT
Last Name:PAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DELHI STREET
Mailing Address - Street 2:SUITE 3100
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001
Mailing Address - Country:US
Mailing Address - Phone:563-557-5959
Mailing Address - Fax:563-557-5950
Practice Address - Street 1:1500 DELHI ST
Practice Address - Street 2:SUITE 3100
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-6358
Practice Address - Country:US
Practice Address - Phone:563-557-5959
Practice Address - Fax:563-557-5950
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36630207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0491670Medicaid
I17608Medicare PIN
I50080Medicare UPIN