Organization
ARIC JAY ECKHARDT, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIC JAY ECKHARDT M.D., F.A.C.S. (PRESIDENT/OWNER)
(309) 764-4650
Entity
Organization
Contact information
Practice address
3900 28TH AVENUE DR, SUITE 105, MOLINE, IL 61265-5536
(309) 764-4650
(866) 633-1827
Mailing address
3900 28TH AVENUE DR, SUITE 105, MOLINE, IL 61265-5536
(309) 764-4650
(866) 633-1827
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036099360
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099360
—
IL
Enumeration date
04/16/2008
Last updated
11/25/2013
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