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1902882244
JAMES VANCE PARK
DAVENPORT, IA
NPI
1902882244
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA 28906)
Enumeration Date
2005-12-19
Last Update Date
2021-05-06
Business Address
Mr. JAMES VANCE PARK MD
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2498
Phone number: 563-421-1000
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Mailing Address
Mr. JAMES VANCE PARK MD
PO BOX 1245
BETTENDORF, IA 52722-0021
Phone number: 563-324-8160
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