Provider Demographics
NPI:1649269002
Name:SEARLE, ARTHUR B (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:B
Last Name:SEARLE
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 1:1351 W CENTRAL PARK AVE
Mailing Address - Street 2:SUITE 4300
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52804-1853
Mailing Address - Country:US
Mailing Address - Phone:563-383-2763
Mailing Address - Fax:563-328-5500
Practice Address - Street 1:1351 W CENTRAL PARK AVE
Practice Address - Street 2:SUITE 4300
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52804-1853
Practice Address - Country:US
Practice Address - Phone:563-383-2763
Practice Address - Fax:563-328-5500
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20765208100000X
IL036086184208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0071456Medicaid
IA03272OtherBCBS
IA0071456Medicaid
IA0071456Medicaid