Individual
DR. ERIC J DIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3385 DEXTER CT STE 100, DAVENPORT, IA 52807-3471
(563) 324-3818
(563) 326-4280
Mailing address
3001 PALM HARBOR BLVD STE A, PALM HARBOR, FL 34683-1930
(727) 474-0090
(727) 474-0055
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
30121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060059569
MEDICARE RAILROAD
—
05
—
8114611
—
IA
01
—
IB3877001
VASCULAR INSTITUTE OF THE MIDWEST
IA
Enumeration date
01/10/2006
Last updated
04/05/2018
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