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Individual

CHARLES GRANT DENNEHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.007911
IL
363A00000X
Physician Assistant
Primary
099619
IA
363A00000X
Physician Assistant

Other

Enumeration date
01/03/2020
Last updated
07/01/2025
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