CHARLES GRANT DENNEHEY

DAVENPORT, IA
NPI1083253306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IA  099619)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2020-01-03
Last Update Date2022-10-05
Business Address
CHARLES GRANT DENNEHEY
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2459
Phone number: 563-421-1000
Mailing Address
CHARLES GRANT DENNEHEY
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2459
Phone number: 563-421-1000
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