GREAT RIVER MEDICAL GROUP

DAVENPORT, IA
NPI1750360251
Entity TypeOrganization
Authorized ContactLISA A KOPP
General PT R
563-441-9100
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IA  03155)
Enumeration Date2006-01-12
Last Update Date2020-08-22
Business Address
GREAT RIVER MEDICAL GROUP
4626 PROGRESS DR
DAVENPORT, IA 52807-3483
Phone number: 563-441-9100
Mailing Address
GREAT RIVER MEDICAL GROUP
4626 PROGRESS DR
DAVENPORT, IA 52807-3483
Phone number: 563-441-9100
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