Organization
DAVID T ADE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA KAY FULLER (MEDICAL ASSISTANT)
(309) 762-5515
Entity
Organization
Contact information
Practice address
550 30TH AVE STE 12, MOLINE, IL 61265-5975
(309) 762-5513
(309) 762-5519
Mailing address
550 30TH AVE STE 12, MOLINE, IL 61265-5975
(309) 762-5513
(309) 762-5519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
IL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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