Organization
ACCREDITED DERMATOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F. GODWIN M.D. (PRESIDENT)
(563) 355-3376
Entity
Organization
Contact information
Practice address
2322 E KIMBERLY RD, SUITE N100, DAVENPORT, IA 52807-7205
(563) 355-3376
Mailing address
2322 E KIMBERLY RD, SUITE N100, DAVENPORT, IA 52807-7205
(563) 355-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17538
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090084
—
IA
Enumeration date
03/02/2007
Last updated
08/22/2020
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