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Great River Medical Group Valid NPI

Organization · Internal Medicine Physician · Davenport, IA

NPI
1750360251
Type
Organization (Type 2)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
03155 (IA)
Enumerated
2006-01-12
Last updated
2020-08-22
Practice location
4626 Progress Dr
Davenport, IA 52807-3483
(563) 441-9100

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