Provider Demographics
NPI:1932104858
Name:ANDERSON, ROBERT F (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:ANDERSON
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 1:865 LINCOLN RD
Mailing Address - Street 2:STE 210
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4190
Mailing Address - Country:US
Mailing Address - Phone:563-344-8600
Mailing Address - Fax:563-344-2967
Practice Address - Street 1:865 LINCOLN RD
Practice Address - Street 2:STE 210
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-4190
Practice Address - Country:US
Practice Address - Phone:563-344-8600
Practice Address - Fax:563-344-2967
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21074208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA29872OtherWELLMARK BC/BS
20101OtherIOWA HEALTH SOLUTIONS
034783OtherHEALTH ALLIANCE
IA1200578Medicaid
IA0105OtherJOHN DEERE HEALTH PLAN
IA29872OtherWELLMARK BC/BS
IAI3095Medicare PIN