Great River Medical Group | |
4626 Progress Dr Davenport IA 52807-3483 | |
(563) 441-9100 | |
(563) 441-9101 |
Full Name | Great River Medical Group |
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Speciality | Internal Medicine |
Location | 4626 Progress Dr, Davenport, Iowa |
Authorized Official Name and Position | Lisa A Kopp (GENERAL PTR) |
Authorized Official Contact | 5634419100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Great River Medical Group 4626 Progress Dr Davenport IA 52807-3483 Ph: (563) 441-9100 | Great River Medical Group 4626 Progress Dr Davenport IA 52807-3483 Ph: (563) 441-9100 |
NPI Number | 1750360251 |
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Provider Enumeration Date | 01/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750360251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 03155 (Iowa) | 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 | |