Organization
OBSTETRICS AND GYNECOLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIE MARIE GRAHAM (CREDENTIALING)
(563) 355-1853
Entity
Organization
Contact information
Practice address
5350 EASTERN AVENUE, DAVENPORT, IA 52807
(563) 355-1853
(563) 355-0327
Mailing address
5350 EASTERN AVENUE, DAVENPORT, IA 52807
(563) 355-1853
(563) 355-0327
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
11/15/2017
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