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1345 W Central Park Ave Davenport IA 52804-1844 | |
(563) 421-4400 | |
(563) 421-4449 |
Full Name | |
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Speciality | Family Medicine |
Location | 1345 W Central Park Ave, Davenport, Iowa |
Authorized Official Name and Position | Terri Walz (PROGRAM ASSISTANT) |
Authorized Official Contact | 5634214400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 | 1345 W Central Park Ave Davenport IA 52804-1844 Ph: (563) 421-4400 |
NPI Number | 1922012764 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922012764 | NPI | - | NPPES |
0495747 | Medicaid | IA | |
0495952 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Renee D Lass Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4626 Progress Dr Ste B, Davenport, IA 52807 Phone: 563-359-3736 Fax: 563-359-0153 | |
Quad Cities Internal Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3509 Spring St, Suite 3, Davenport, IA 52807 Phone: 563-359-5011 Fax: 359-355-3438 | |
Quad Cities Pediatrics, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5510 Utica Ridge Rd Ste 100, Davenport, IA 52807 Phone: 563-424-2025 Fax: 563-424-2042 | |