| Steven P Anderson | |
|
2208 E 52nd St Davenport IA 52807-2726 | |
| (563) 359-5599 | |
| Not Available |
| Full Name | Steven P Anderson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2208 E 52nd St, Davenport, Iowa |
| Authorized Official Name and Position | Steven P Anderson (OWNER) |
| Authorized Official Contact | 5633595599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven P Anderson 2208 E 52nd St Davenport IA 52807-2726 Ph: (563) 359-5599 | Steven P Anderson 2208 E 52nd St Davenport IA 52807-2726 Ph: (563) 359-5599 |
| NPI Number | 1518124460 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 06/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518124460 | NPI | - | NPPES |
| 0500108 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6529 (Iowa) | Primary |
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