Individual
DR. EDMUND P COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Mailing address
1236 E RUSHOLME ST, SUITE 300, DAVENPORT, IA 52803-2473
(563) 324-2992
(563) 888-0499
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-28620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0083220
—
IA
01
—
060021828
MEDICARE RAILROAD
—
Enumeration date
01/10/2006
Last updated
02/10/2021
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