Organization
INTERNAL MEDICINE ASSOCIATES PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN V MOTTO MD (CEO)
(563) 326-6273
Entity
Organization
Contact information
Practice address
1230 E RUSHOLME ST, SUITE 303, DAVENPORT, IA 52803-2467
(563) 326-6273
(563) 326-0098
Mailing address
1230 E RUSHOLME ST, SUITE 303, DAVENPORT, IA 52803-2452
(563) 326-6273
(563) 326-0098
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
21256
IA
Other
Enumeration date
06/25/2006
Last updated
03/24/2010
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