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Organization
DIAMOND MEDICAL SPA AND VEIN, PC
Active
Organization
DIAMOND MEDICAL SPA AND VEIN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY L. YATES MD (OWNER)
(563) 505-5372
Entity
Organization
Contact information
Practice address
3170 E 53RD ST, DAVENPORT, IA 52807-3864
(563) 505-5372
Mailing address
3170 E 53RD ST, DAVENPORT, IA 52807-3864
(563) 505-5372
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-076186
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
27540
IA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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