Quad Cities Internal Medicine Pc

NPI 1053431437 - Internal Medicine - 207R00000X

NPI Details
NPI 1053431437
Enumeration Date 03/30/2007
Last Updated 01/16/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DEBRA M DEBRA
Position OWNER
Phone (563) 359-5011
Fax (359) 355-3438
Practice Location
3509 SPRING ST
SUITE 3
DAVENPORT IA, 52807-2124, US
Phone (563) 359-5011
Fax (359) 355-3438
Business Location
3509 SPRING ST
SUITE 3
DAVENPORT IA, 52807-2124, US
Phone (563) 359-5011
Fax (359) 355-3438
Toxanomy
Taxonomy Code 207R00000X
License State Iowa
License Number 27082
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According to our database, Quad Cities Internal Medicine Pc NPI is 1053431437, taxonomy code is 207R00000X and license number is 27082, license state is located at Iowa. Quad Cities Internal Medicine Pc physically located at 3509 Spring St, Davenport IA, 52807-2124. NPI Number 1033115704 has the healthcare provider type.

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1053431437 NPI number is provided on an as is basis without warranty of any kind. 1053431437 is maintained by the National Plan & Provider Enumeration System. The contents of Quad Cities Internal Medicine Pc are for informational purposes only.