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NPI Code Detail

MEDICARE: ROBERT ALLYN BISCHOFF MD

MEDICARE:   ROBERT ALLYN BISCHOFF  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
1207Q00000XFamily Medicine Physician26642IA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00466589OTHERIARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487642716
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT ALLYN BISCHOFF MD
Provider Business Mailing Address
First Line : 105 9TH AVE
Second Line :
City : BELLE PLAINE
State : IA
Zip : 52208-2200
Country : US
Telephone Number : 319-444-3210
Fax Number : 319-444-1078
Provider Business Practice Location Address
First Line : 105 9TH AVE
Second Line :
City : BELLE PLAINE
State : IA
Zip : 52208-2200
Country : US
Telephone Number : 319-444-3210
Fax Number : 319-444-1078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 09/17/2009

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