Individual
DR. BRYANT A. MUTCHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 W KIMBERLY RD STE 200, DAVENPORT, IA 52806-3059
(563) 421-0268
(563) 421-0269
Mailing address
3200 W KIMBERLY RD STE 200, DAVENPORT, IA 52806-3059
(563) 421-0268
(563) 421-0269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02822
IA
207Q00000X
Family Medicine Physician
Primary
2822
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235713
—
IA
01
—
31942
BLUE CROSS WELLMARK
IA
01
—
IA0150
UHC OF RIVER VALLEY (JDH)
IA
01
—
P00383256
RAILROAD MEDICARE
IA
Enumeration date
06/17/2006
Last updated
07/09/2021
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