Organization
COSTAS L. CONSTANTINOU, M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSTAS L CONSTANTINOU M.D. (PRESIDENT)
(563) 359-9876
Entity
Organization
Contact information
Practice address
1409 E KIMBERLY RD, DAVENPORT, IA 52807-1923
(563) 359-9876
(563) 359-0608
Mailing address
1409 E KIMBERLY RD, DAVENPORT, IA 52807-1923
(563) 359-9876
(563) 359-0608
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3217588
—
IA
Enumeration date
11/21/2007
Last updated
06/11/2008
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