| Dale R Holdiman, MD | |
| 624 Jones St, Ste 5400, Sioux City, IA 51105-1924 | |
| (712) 279-2510 | |
| (712) 279-2519 | 
| Full Name | Dale R Holdiman | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 624 Jones St, Sioux City, Iowa | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306894050 | NPI | - | NPPES | 
| 100251443-00 | Medicaid | IA | |
| 7782140 | Medicaid | IA | |
| 3164657 | Medicaid | IA | |
| 36901 | Other | IA | WELLMARK BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 20689 (Iowa) | Primary | 
| Entity Name | Siouxland Regional Cancer Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1114904604 PECOS PAC ID: 9830148188 Enrollment ID: O20050721000823 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dale R Holdiman, MD Po Box 328, Sioux City, IA 51102-0328 Ph: (712) 279-5830 | Dale R Holdiman, MD 624 Jones St, Ste 5400, Sioux City, IA 51105-1924 Ph: (712) 279-2510 | 
| Sharon K Fey, PA C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 4th Street, Ste 410, Sioux City, IA 51101 Phone: 712-255-7746 Fax: 712-255-0829 | |
| Dr. Peter Jon Anderson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2010 Fax: 712-279-2034 | |
| Dr. Robert Mark Stewart, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2730 Pierce St, Suite 401, Sioux City, IA 51104 Phone: 712-255-8827 Fax: 712-255-4862 | |
| William R Wanner, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106 Phone: 712-239-4702 Fax: 712-224-5898 | |
| Roque Bernardo Arteaga, M.D., FACC Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5885 Sunnybrook Dr, Suite L-200, Sioux City, IA 51106 Phone: 712-239-4702 Fax: 712-224-5898 | |
| Dr. Olusola Ogundipe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2010 | |
| Sandeep S Gupta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2730 Pierce St, Suite 401, Sioux City, IA 51104 Phone: 712-255-8827 Fax: 712-255-4862 |