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Organization
BETTENDORF PEDIATRIC GROUP
Active
Organization
BETTENDORF PEDIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POMILLA KUMAR MD (OWNER)
(563) 332-3400
Entity
Organization
Contact information
Practice address
4017 DEVILS GLEN RD, SUITE 200, BETTENDORF, IA 52722-7259
(563) 332-3400
(563) 332-4784
Mailing address
4017 DEVILS GLEN RD, SUITE 200, BETTENDORF, IA 52722-7259
(563) 332-3400
(563) 332-4784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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