| |
1850 E 53rd St Ste 2, Davenport, IA 52807-2784 | |
(563) 359-4106 | |
(563) 359-4130 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 1850 E 53rd St Ste 2, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689013393 | NPI | - | NPPES |
Provider Name | Kathryn R Frega |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790067783 PECOS PAC ID: 6800050931 Enrollment ID: I20171017002191 |
Provider Name | Ashley A Campbell |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518434380 PECOS PAC ID: 4587918925 Enrollment ID: I20181121000800 |
Mailing Address | Practice Location Address |
---|---|
1850 E 53rd St Ste 2, Davenport, IA 52807-2784 Ph: (563) 359-4106 | 1850 E 53rd St Ste 2, Davenport, IA 52807-2784 Ph: (563) 359-4106 |