Iowa Plastic Surgery Center Lc

NPI 1215916184 - Clinic/Center - 261QA1903X

NPI Details
NPI 1215916184
Enumeration Date 01/10/2006
Last Updated 02/15/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BENJAMIN ADAM BENJAMIN
Position OWNER
Phone (563) 322-8877
Fax (563) 322-8375
Practice Location
4334 E 53RD ST
DAVENPORT IA, 52807-3039, US
Phone (563) 322-8877
Fax (563) 322-8375
Business Location
4334 E 53RD ST
DAVENPORT IA, 52807-3039, US
Phone (563) 322-8877
Fax (563) 322-8375
Toxanomy
Taxonomy Code 261QA1903X
License State Iowa
License Number 29526
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According to our database, Iowa Plastic Surgery Center Lc NPI is 1215916184, taxonomy code is 261QA1903X and license number is 29526, license state is located at Iowa. Iowa Plastic Surgery Center Lc physically located at 4334 E 53rd St, Davenport IA, 52807-3039. NPI Number 1033115704 has the healthcare provider type.

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1215916184 NPI number is provided on an as is basis without warranty of any kind. 1215916184 is maintained by the National Plan & Provider Enumeration System. The contents of Iowa Plastic Surgery Center Lc are for informational purposes only.