Healthcare Provider Details

I. General information

NPI: 1740245513
Provider Name (Legal Business Name): ROBERT ALLEN STRUG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HIGHWAY 6 W DEPT VET AFFAIRS MED CENTER
IOWA CITY IA
52246-2292
US

IV. Provider business mailing address

1508 FOREST RD
CORALVILLE IA
52241-1068
US

V. Phone/Fax

Practice location:
  • Phone: 319-338-0581
  • Fax: 319-339-7171
Mailing address:
  • Phone: 319-351-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number07367
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: