-- DONALD T VAN DE WATER -- MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1710923800- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 800 MERCY DR ALEGENT MERCY HOSPITAL DEPT OF RADIOLOGY, COUNCIL BLUFFS, IA, 515033128
- Phone
- (712) 328-5100
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: NE #18576
Radiology, Diagnostic Radiology
License: IA #21318
All Addresses
LOCATION
800 MERCY DR ALEGENT MERCY HOSPITAL DEPT OF RADIOLOGY
COUNCIL BLUFFS, IA, 515033128