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NPI Code Detail

MEDICARE: DR. DANIEL ROBERT OLNEY MD

MEDICARE: DR. DANIEL ROBERT OLNEY 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
1207YX0905XOtolaryngology/Facial Plastic Surgery Physician35918IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
339108OTHERIABLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1932155900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL ROBERT OLNEY MD
Provider Business Mailing Address
First Line : 2615 NORTHGATE DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-9565
Country : US
Telephone Number : 319-351-5680
Fax Number : 319-351-8980
Provider Business Practice Location Address
First Line : 2615 NORTHGATE DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52245-9565
Country : US
Telephone Number : 319-351-5680
Fax Number : 319-351-8980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 11/03/2015

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