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1174509442
JOHNNY EDWARD BRIAN
DAVENPORT, IA
NPI
1174509442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 29071)
Enumeration Date
2005-12-19
Last Update Date
2007-07-08
Business Address
Mr. JOHNNY EDWARD BRIAN MD
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2498
Phone number: 563-421-1000
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Mailing Address
Mr. JOHNNY EDWARD BRIAN MD
PO BOX 2441
DAVENPORT, IA 52809-2441
Phone number: 563-324-8160
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