Healthcare Provider Details

I. General information

NPI: 1316965387
Provider Name (Legal Business Name): STEVEN M STROM DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 W KIMBERLY RD
DAVENPORT IA
52806-3059
US

IV. Provider business mailing address

3200 WEST KIMBERLY ROAD SUITE 200
DAVENPORT IA
52806
US

V. Phone/Fax

Practice location:
  • Phone: 563-421-0220
  • Fax: 563-421-4022
Mailing address:
  • Phone: 563-421-4400
  • Fax: 563-421-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3727
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: