WATERFORD FAMILY MEDICINE PC

DAVENPORT, IA
NPI1942470828
Entity TypeOrganization
Authorized ContactTAMMY J WELLS
Owner
563-355-9990
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  1093794968)
Enumeration Date2008-03-06
Last Update Date2008-03-06
Business Address
WATERFORD FAMILY MEDICINE PC
1820 E 54TH ST STE B
DAVENPORT, IA 52807-2797
Phone number: 563-355-9990
Mailing Address
WATERFORD FAMILY MEDICINE PC
1820 E 54TH ST STE B
DAVENPORT, IA 52807-2797
Phone number: 563-355-9990
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