Provider Demographics
NPI:1174559447
Name:DELBRIDGE, ARNOLD EUGENE (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:EUGENE
Last Name:DELBRIDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 KIMBALL AVE
Mailing Address - Street 2:PO BOX 2758
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9086
Mailing Address - Country:US
Mailing Address - Phone:319-233-6448
Mailing Address - Fax:319-233-4240
Practice Address - Street 1:164 WEST DALE ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703-1925
Practice Address - Country:US
Practice Address - Phone:319-233-6448
Practice Address - Fax:319-233-4240
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA20001207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA42141730702OtherJOHN DEERE HEALTH
IA1137182Medicaid
IA19287OtherWELLMARK HEALTHCARE
IA19287OtherWELLMARK HEALTHCARE
A01208Medicare UPIN