Organization Name: | QUAD CITY FAMILY PHYSICIANS, PC |
NPI Number: | 1265430961 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH ESTILOW (OFFICE MANAGER) |
Mailing Address: | 3940 N Marquette St Davenport |
State: | IA US |
Postal Code: | 528064430 |
Phone Number: | 5633863111 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |