MEDICARE: DR. ANTONIO P VIGLIOTTI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	036-083522	IL
2	2085R0001X	Radiation Oncology Physician	24869	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235126905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTONIO P VIGLIOTTI MD

Provider Business Mailing Address
First Line	:	PO BOX 115
Second Line	:
City	:	HIAWATHA
State	:	IA
Zip	:	52233-0115
Country	:	US
Telephone Number	:	319-826-3763
Fax Number	:	888-609-6019

Provider Business Practice Location Address
First Line	:	1401 W CENTRAL PARK AVE
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52804-1707
Country	:	US
Telephone Number	:	563-421-1900
Fax Number	:	563-421-1938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	06/30/2025

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