NPI | 1427485697 |
---|---|
Doing Business As | GENESIS HEALTH GROUP DAVENPORT PEDIATRIC HEALTH HOME |
Entity Type | Organization |
Authorized Contact | MARK G. ROGERS VP Of Finance 563-421-6513 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |