Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35918 | IA |
NPI | 1932155900 |
---|---|
Provider Name | Dr. Daniel Robert Olney |
First Address | Iowa City, IA 52245-9565 |
Second Address | Iowa City, IA 52245-9565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 03/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0460444 | (05) | IA |
35918 | (05) | IA |
39108 | BLUE CROSS/BLUE SHIELD (01) | IA |
I28824 | (02) | IA |