Healthcare Provider Details

I. General information

NPI: 1649205444
Provider Name (Legal Business Name): ROBERT B STERN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 05/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 1/2 COLLEGE AVE
IOWA FALLS IA
50126-2106
US

IV. Provider business mailing address

322 1/2 COLLEGE AVE
IOWA FALLS IA
50126-2106
US

V. Phone/Fax

Practice location:
  • Phone: 641-648-6491
  • Fax: 641-648-7138
Mailing address:
  • Phone: 641-648-6491
  • Fax: 641-648-7138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number219276
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number02401
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: